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DR. BENJAMIN FRANKLIN TANNER DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1134325954
Individual Registrant:DR. BENJAMIN FRANKLIN TANNER DMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
114 HUXFORD ST HOMERVILLE, GA 31634-2357 US
Tel: 912-487-5271 Fax: --
Tel: 912-487-5271 Fax: --
Contact information for business:
114 HUXFORD ST HOMERVILLE, GA 31634-2357 US
Tel: 912-487-5271 Fax: --
Tel: 912-487-5271 Fax: --
Registration Information:
NPI: 1134325954
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | GA | DN013182 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
