Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner B. Gregory, DDS, PLLC

Organization Dental Clinic/Center · NPI 1790445872

Tanner B. Gregory, DDS, PLLC is a Dental Clinic/Center in Austin, Texas. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3600 N Capital Of Texas Hwy Ste A220
Austin, TX 78746-3409
Phone: (512) 900-9697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1790445872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Wideman — Office Manager · (806) 632-7964
NPI enumeratedDecember 30, 2021
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026
Mailing address3600 N Capital Of Texas Hwy Ste A220, Austin, TX 78746-3409

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