Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANNER WALLACE, D.M.D.
ActiveDR. TANNER WALLACE, D.M.D. is a Dentist healthcare provider located in HANOVER, New Hampshire. NPI 1932514130 is currently active in the NPPES registry. Verify at CMS.
Dentist · HANOVER, NH
Registration Details
- NPI Number
- 1932514130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2014 (12.173677084728 yrs)
- Last Updated
- Nov 7, 2014
- License
-
04057 (NH)
Practice Information
- Address
-
73 LYME RDSUITE 3HANOVER, NH, 037551207Browse NH providers · Browse ZIP 03755
- Phone
- 6036433509
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in HANOVER, NH
| Name | Credential | NPI |
|---|---|---|
| DR. ROGER W MCWILLIAMS | DMD | 1164422721 |
| DR. ELAINE M NEAL | DMD | 1124367040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.