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

Tanner Gustafson

Individual provider Dentist · NPI 1669049821

Tanner Gustafson is a Dentist in Beaufort, South Carolina. Practices as a sole proprietor. Licensed in Georgia and South Carolina.

Licensed in
GA, SC
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

27A Kemmerlin Ln
Beaufort, SC 29907-2702
Phone: (843) 522-2007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10270 (SC)
Dentist Taxonomy 122300000X · Licence DN122359 (GA)

Record details

NPI number1669049821
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 7, 2021
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023

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