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TANNER GUSTAFSON
NPI 1669049821
Dentist - General Practice in Beaufort, SC

Active since June 07, 2021
27A KEMMERLIN LN, BEAUFORT, SC 29907(843) 522-2007 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 3, 2023, Jun 25, 2021, Jun 7, 2021 (3 updates tracked since 2021).

About Tanner Gustafson NPPES

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

TANNER GUSTAFSON (NPI 1669049821) is an individual general practice provider in Beaufort, South Carolina, licensed in South Carolina (10270) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1669049821
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTANNER GUSTAFSON
Location Address27A KEMMERLIN LNBeaufort, SC 29907-2702
Mailing Address1137 Salem Bay DrBeaufort, SC 29902-5252 · (320) 815-1163
Phone(843) 522-2007
Sole ProprietorYes
Enumeration DateJune 7, 2021
Last NPPES UpdateMay 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2023
✔ NPI 1669049821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 10270
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 DN122359 (GA)
27A KEMMERLIN LN, Beaufort, SC 29907
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

BEAUFORT SMILES PA
Dentist (General Practice)
27A KEMMERLIN LN
BEAUFORT, SC 29907
Beaufort County (843) 522-2077

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 Gustafson's NPI number?

The NPI number for Tanner Gustafson is 1669049821. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Tanner Gustafson located?

Tanner Gustafson practices at 27A Kemmerlin Ln, Beaufort, SC 29907. The listed phone number is (843) 522-2007.

What is Tanner Gustafson's specialty?

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

What insurance does Tanner Gustafson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Tanner Gustafson 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 Tanner Gustafson was last updated on May 3, 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.