Tanner Wallace, D.M.D.
General Dentistry · Hanover, NH
UnclaimedD.M.D.NPI 1932514130
- Primary taxonomy
- 122300000X
- Enumerated
- 2014-06-25
- Practice location
- Hanover, NH
- Last NPPES update
- 2014-11-07
State licenses
- NH · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.