NATHAN TANNER PC
NPI 1144862293
Clinic/Center - Dental in Jackson, WY

Active since October 10, 2019
200 E BROADWAY, JACKSON, WY 83001(307) 733-2555 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nathan Tanner Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN TANNER PC (NPI 1144862293), doing business as Elkridge Dental, is a healthcare organization registered as a dental in Jackson, Wyoming and active in the NPI registry since October 2019. The organization lists Lynette Krause, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1144862293
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameNATHAN TANNER PC
Location Address200 E BROADWAYJackson, WY 83001
Mailing AddressPo Box 1190Jackson, WY 83001-1190
Organization SubpartNo
Authorized OfficialLynette KrauseInsurance Coordinator · (307) 733-2555
Enumeration DateOctober 10, 2019
NPI 1144862293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
200 E BROADWAY, Jackson, WY 83001

Other Names 1

Doing Business AsElkridge Dental

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Tanner PC's NPI number?

The NPI number for Nathan Tanner PC is 1144862293. It was assigned to this organization in the NPPES registry on October 10, 2019. The provider is doing business as Elkridge Dental.

Where is Nathan Tanner PC located?

Nathan Tanner PC is located at 200 E Broadway, Jackson, WY 83001. The listed phone number is (307) 733-2555.

What is Nathan Tanner PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Nathan Tanner PC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Nathan Tanner PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nathan Tanner PC was last updated on October 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.