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

Dr. Stafford Dale Tanner, DMD, PA

Individual provider General Practice Dentistry · NPI 1982819348

Dr. Stafford Dale Tanner, DMD, PA is a General Practice Dentistry in Mt Pleasant, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1065 Johnnie Dodds Blvd Ste A
Mt Pleasant, SC 29464-6153
Phone: (843) 884-5166
Fax: (843) 849-0791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2601 (SC)

Record details

NPI number1982819348
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , PA
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESJuly 8, 2007

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