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General NPI Number Information
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NPI Number | 1861376303
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Entity Type | Organization
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Legal Business Name | J TANNER ANDERSON DDS MS PLLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1551 WESTBROOK PLAZA DR STE 103
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1355
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Country | US
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Telephone | 336-760-9229
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Fax | 336-742-8750
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Provider Business Mailing Address
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Address Line | 1551 WESTBROOK PLAZA DR STE 103
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City | WINSTON SALEM
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State | NC
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Zip | 27103-1355
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Country | US
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Telephone | 336-760-9229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH TANNER ANDERSON
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Credential | DDS, MS
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Telephone | 828-443-9491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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