| Tanner Mitchell DDS LLC | |
|
3105 Middle Rd Ste A Columbus IN 47203-4472 | |
| (812) 379-4321 | |
| (812) 379-1977 |
| Full Name | Tanner Mitchell DDS LLC |
|---|---|
| Speciality | Dentist |
| Location | 3105 Middle Rd Ste A, Columbus, Indiana |
| Authorized Official Name and Position | Tanner Jameson Mitchell (OWNER/DENTIST) |
| Authorized Official Contact | 3176560709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Mitchell DDS LLC 219 Lori Ann Dr Whiteland IN 46184-1677 Ph: (317) 656-0709 | Tanner Mitchell DDS LLC 3105 Middle Rd Ste A Columbus IN 47203-4472 Ph: (812) 379-4321 |
| NPI Number | 1043033293 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 11/06/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043033293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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