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

Dr. Tanner Wallace, DMD

Individual provider Dentist · NPI 1932514130

Dr. Tanner Wallace, DMD is a Dentist in Hanover, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2014.

Licensed in
NH
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

73 Lyme Rd Ste 3
Hanover, NH 03755-1207
Phone: (603) 643-3509
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 04057 (NH)

Record details

NPI number1932514130
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESNovember 7, 2014
Mailing address73 Lyme Rd, Suite 3, Hanover, NH 03755-1207

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