DR. STAFFORD DALE TANNER D.M.D. PA
NPI 1982819348
Dentist - General Practice in Mt Pleasant, SC

Active since May 11, 2007
1065 JOHNNIE DODDS BLVD STE A, MT PLEASANT, SC 29464(843) 884-5166(843) 849-0791 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stafford Dale Tanner D.m.d. Pa NPPES

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

DR. STAFFORD DALE TANNER D.M.D. PA (NPI 1982819348) is an individual general practice provider in Mt Pleasant, South Carolina, licensed in South Carolina (2601) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1982819348
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STAFFORD DALE TANNERCredential: D.M.D. PA
Location Address1065 JOHNNIE DODDS BLVD STE AMt Pleasant, SC 29464-6153
Mailing Address1065 Johnnie Dodds Blvd Ste AMt Pleasant, SC 29464-6153 · (843) 884-5166 · Fax (843) 849-0791
Fax(843) 849-0791
Sole ProprietorYes
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1982819348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 2601
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.
1065 JOHNNIE DODDS BLVD STE A, Mt Pleasant, SC 29464

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1065 JOHNNIE DODDS BLVD STE A
MT PLEASANT, SC 29464
Dentist (General Practice)
1065 JOHNNIE DODDS BLVD STE A
MT PLEASANT, SC 29464

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 Stafford Tanner's NPI number?

The NPI number for Stafford Tanner is 1982819348. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Stafford Tanner located?

Stafford Tanner practices at 1065 Johnnie Dodds Blvd Ste A, Mt Pleasant, SC 29464. The listed phone number is (843) 884-5166.

What is Stafford Tanner's specialty?

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

When was this NPI record last updated?

The NPPES record for Stafford Tanner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.