Jonathan Corey Tanner
Jonathan Corey Tanner is a Dentist in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2019
Practice location Address checks out
1344 22nd St SSt Petersburg, FL 33712-2744
Phone: (727) 824-8181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DN24535 (FL) |
|---|
Record details
| NPI number | 1720623606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 14, 2019 |
| Last updated in NPPES | November 14, 2019 |
| Mailing address | 7017 Monarch Park Dr, Apollo Beach, FL 33572-8113 |
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