DR. NATHAN JOHN TANNER D.M.D.
NPI 1326181579
Dentist - General Practice in Jackson, WY

Active since February 15, 2007
200 E BROADWAY AVE # 1190, JACKSON, WY 83001(307) 733-5222 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2021, Oct 25, 2019, Apr 1, 2019 (3 updates tracked since 2019).

About Dr. Nathan John Tanner D.m.d. NPPES

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

DR. NATHAN JOHN TANNER D.M.D. (NPI 1326181579) is an individual general practice provider in Jackson, Wyoming, licensed in Wyoming (WY1538) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1326181579
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NATHAN JOHN TANNERCredential: D.M.D.
Location Address200 E BROADWAY AVE # 1190Jackson, WY 83001-8634
Mailing AddressPo Box 1190Jackson, WY 83001-1190 · (307) 733-2555 · Fax (307) 733-2552
Sole ProprietorYes
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJune 3, 20213 updates tracked since enumeration
NPPES CertifiedJune 3, 2021
NPI 1326181579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in WY · WY1538 Licensed in MT · 4200 Licensed in WY · 1538
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License D7768 (OR)
200 E BROADWAY AVE # 1190, Jackson, WY 83001

Other Identifiers 1

Medicaid154182000WY

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's NPI number?

The NPI number for Nathan Tanner is 1326181579. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Nathan Tanner located?

Nathan Tanner practices at 200 E Broadway Ave # 1190, Jackson, WY 83001. The listed phone number is (307) 733-5222.

What is Nathan Tanner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nathan Tanner accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Nathan Tanner 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 was last updated on June 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.