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

Individual provider General Practice Physician · NPI 1063049799

Tanner C Carlock, MD is a General Practice Physician in Dayton, Ohio. Licensed in Nebraska. Registered with an NPI since 2020.

Licensed in
NE
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Wyoming St
Dayton, OH 45409-2722
Phone: (937) 208-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 33899 (NE)
General Practice Physician Taxonomy 208D00000X · Licence 33899 (NE)

Record details

NPI number1063049799
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2020
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026
Mailing address1 Wyoming St, Dayton, OH 45409-2722

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