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PAUL BENJAMIN TANNER MBA, CCA
NPI 1760607428
Anaplastologist in Bountiful, UT

Active since April 16, 2007
1455 S 500 W STE D, BOUNTIFUL, UT 84010(801) 997-0545(888) 977-5399 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2023, Jun 16, 2023, Nov 15, 2022 and 1 more (4 updates tracked since 2015).

About Paul Benjamin Tanner Mba, Cca NPPES

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

PAUL BENJAMIN TANNER MBA, CCA (NPI 1760607428) is an individual anaplastologist provider in Bountiful, Utah and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1760607428
Entity TypeIndividualMale
Primary Taxonomy229N00000X
Provider Legal NamePAUL BENJAMIN TANNERCredential: MBA, CCA
Location Address1455 S 500 W STE DBountiful, UT 84010-8252
Mailing Address3474 S 100 EBountiful, UT 84010-6605 · (801) 997-0545 · Fax (888) 977-5399
Phone(801) 997-0545
Fax(888) 977-5399
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateOctober 31, 20244 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
✔ NPI 1760607428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAnaplastologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code229N00000X
Definition
An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
Also ListedTechnician/Technologist · OcularistTaxonomy 156FX1700X
Also ListedProsthetistTaxonomy 224P00000X
Also ListedSpecialist/Technologist, Other · Art, MedicalTaxonomy 246ZA2600X
1455 S 500 W STE D, Bountiful, UT 84010
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Other Providers at the Same Location NPPES

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

CUSTOM DME
Anaplastologist
1455 S 500 W STE D
BOUNTIFUL, UT 84010
Davis County (801) 997-0545

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 Paul Tanner's NPI number?

The NPI number for Paul Tanner is 1760607428. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Paul Tanner located?

Paul Tanner practices at 1455 S 500 W Ste D, Bountiful, UT 84010. The listed phone number is (801) 997-0545.

What is Paul Tanner's specialty?

The primary specialty registered for this NPI is Anaplastologist with taxonomy code 229N00000X.

When was this NPI record last updated?

The NPPES record for Paul Tanner was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.