MR. TANNER BRUNNWORTH DMD
NPI 1508422197
Dentist in Crestview, FL

Q: What is Tanner Brunnworth's NPI number?

The NPI number for Tanner Brunnworth is 1508422197. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Q: What is Tanner Brunnworth's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tanner Brunnworth was last updated on August 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 19, 2019

101 4TH AVE STE D, CRESTVIEW, FL 32539(850) 683-3544 Get Directions Write a Review

NPPES record last updated: August 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2022, May 11, 2022, Nov 18, 2021 and 1 more (4 updates tracked since 2019).

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About Mr. Tanner Brunnworth Dmd NPPES

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

MR. TANNER BRUNNWORTH DMD (NPI 1508422197) is an individual dentist in Crestview, Florida, licensed in Florida (DN24128) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1508422197

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. TANNER BRUNNWORTHCredential: DMD

Location Address101 4TH AVE STE DCrestview, FL 32539-2401

Mailing Address101 4th Ave Ste DCrestview, FL 32539-2401 · (850) 683-3544

Phone(850) 683-3544

Sole ProprietorYes

Enumeration DateMay 19, 2019

Last NPPES UpdateAugust 6, 20234 updates tracked since enumeration

NPPES CertifiedAugust 6, 2023

✔ NPI 1508422197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in FL · DN24128

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

101 4TH AVE STE D, Crestview, FL 32539

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. JUSTIN BUCHANAN D.M.D.

Dentist