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

TANNER DAHL DMD
NPI 1700438793
Dentist - Pediatric Dentistry in Tucson, AZ

Active since July 10, 2019PECOS Enrolled
4888 N STONE AVE UNIT 120, TUCSON, AZ 85704(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2026, Mar 17, 2021, Sep 11, 2019 and 1 more (4 updates tracked since 2019).

About Tanner Dahl Dmd NPPES

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

TANNER DAHL DMD (NPI 1700438793) is an individual pediatric dentistry provider in Tucson, Arizona, licensed in Arizona (D012788) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Walla Walla.

NPPES Registry Identity

NPI1700438793
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameTANNER DAHLCredential: DMD
Location Address4888 N STONE AVE UNIT 120Tucson, AZ 85704-5749
Mailing Address4888 N Stone Ave Unit 120Tucson, AZ 85704-5749 · (520) 670-3909 · Fax (520) 309-2560
Fax(520) 309-2560
Sole ProprietorNo
Enumeration DateJuly 10, 2019
Last NPPES UpdateJune 9, 20264 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1700438793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in AZ · D012788
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License DE60967449 (WA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE60967449 (WA)
4888 N STONE AVE UNIT 120, Tucson, AZ 85704

Secondary Practice Location 1

Location 11120 W Rose StWalla Walla, WA 99362-1662 · Phone (509) 525-6650 · Fax (509) 522-2349

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tanner Dahl Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
4888 N STONE AVE UNIT 120
TUCSON, AZ 85704
Counselor
4888 N STONE AVE UNIT 120
TUCSON, AZ 85704
Psychiatry & Neurology (Psychiatry)
4888 N STONE AVE UNIT 120
TUCSON, AZ 85704
Nurse Practitioner (Pediatrics)
4888 N STONE AVE UNIT 120
TUCSON, AZ 85704

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 Dahl's NPI number?

The NPI number for Tanner Dahl is 1700438793. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Tanner Dahl located?

Tanner Dahl practices at 4888 N Stone Ave Unit 120, Tucson, AZ 85704. The listed phone number is (520) 670-3909.

What is Tanner Dahl's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Tanner Dahl enrolled in Medicare?

Yes. Tanner Dahl is registered in the Medicare PECOS enrollment system.

What insurance does Tanner Dahl 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 HRI Dental & Vision and 4 other insurers list Tanner Dahl 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 Dahl was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 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.