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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TANNER WALLACE DMD PA
NPI 1316036171
Clinic/Center - Dental in Hanover, NH

Active since October 12, 2006
73 LYME RD, SUITE 3, HANOVER, NH 03755(603) 643-3509(603) 643-3597 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 17, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Tanner Wallace Dmd Pa NPPES

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

TANNER WALLACE DMD PA (NPI 1316036171) is a healthcare organization registered as a dental in Hanover, New Hampshire and active in the NPI registry since October 2006. The organization lists Tanner Wallace, President, as its authorized official.

NPPES Registry Identity

NPI1316036171
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTANNER WALLACE DMD PA
Location Address73 LYME RD, SUITE 3Hanover, NH 03755
Mailing Address73 Lyme Rd, Suite 3Hanover, NH 03755 · (603) 643-3509 · Fax (603) 643-3597
Phone(603) 643-3509
Fax(603) 643-3597
Organization SubpartNo
Authorized OfficialTanner WallacePresident · (603) 643-3509
Enumeration DateOctober 12, 2006
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
✔ NPI 1316036171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X · License 2292 (NH)
73 LYME RD, Hanover, NH 03755
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACEY J DARLING RDH
Dental Hygienist
73 LYME RD, SUITE 3
HANOVER, NH 03755
Grafton County (603) 643-3509
DR. ELAINE M NEAL DMD
Dentist
73 LYME RD, SUITE 3
HANOVER, NH 03755
Grafton County (603) 643-3509
DR. ELAINE NEAL
Dental Hygienist
73 LYME RD, SUITE 3
HANOVER, NH 03755
Grafton County (603) 643-3509
DR. STEPHEN ENRICO FUCINI DMD
Dentist (Periodontics)
73 LYME RD, STE #2
HANOVER, NH 03755
Grafton County (603) 643-0501
DR. TANNER WALLACE D.M.D.
Dentist
73 LYME RD, SUITE 3
HANOVER, NH 03755
Grafton County (603) 643-3509

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 Tanner Wallace Dmd PA's NPI number?

The NPI number for Tanner Wallace Dmd PA is 1316036171. It was assigned to this organization in the NPPES registry on October 12, 2006.

Where is Tanner Wallace Dmd PA located?

Tanner Wallace Dmd PA is located at 73 Lyme Rd Suite 3, Hanover, NH 03755. The listed phone number is (603) 643-3509.

What is Tanner Wallace Dmd PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Tanner Wallace Dmd PA was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.