DR. TANNER MICHAEL BROWN (NPI# 1588222632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588222632 |
| Entity Type | Individual |
| Full Name | DR. TANNER MICHAEL BROWN |
| Credential | DMD |
| Practice Address |
1811 Lindenwood Ave Edwardsville IL 62025-2580 |
| Mailing Address |
604 Saint Rose Dr Godfrey IL 62035-2117 |
| Practice Telephone | 6186590456 |
| Mailing Telephone | 6187917666 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019.032146 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849785 | Tanner Brown | Physical Therapist | 3991 Us-78 Suite 200, Snellville, GA 30039 | 2020-07-30 |
| 1134681158 | Tanner William Brown | Student in an Organized Health Care Education/Training Program | 1500 S Main St, Fort Worth, TX 76104-4917 | 2019-04-01 |
| 1205316601 | Tanner Corbin Brown | Counselor | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2018-08-16 |
| Street Address |
1811 LINDENWOOD AVE |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025-2580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605165 | Claire Christine Willenborg | Dentist | 1811 Lindenwood Ave, Edwardsville, IL 62025-2580 | 2020-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1316227283 | Dental Arts PC | Dentist | 386 Northampton St, Edwardsville, PA 18704-5448 | 2011-08-24 |
| 1780828376 | Robert A Meintrup | Dentist | 227 Park Dr, Edwardsville, IL 62025-4230 | 2009-04-27 |
| 1093937336 | Dental Professionals of Illinois, P.C. | Dentist | 2 Club Centre Court, Edwardsville, IL 62025 | 2007-05-03 |
| 1114146842 | Walter B. Osika | Dentist | 535 Saint Louis St, Edwardsville, IL 62025-1501 | 2007-04-24 |
| 1295951606 | Kenneth C Hyten & David W Hyten Ltd | Dentist | 2110 Troy Rd, Suite A, Edwardsville, IL 62025-2549 | 2007-04-17 |
| 1427182658 | Brian Shin | Dentist | 195 University Park Dr, Edwardsville, IL 62026-0001 | 2007-03-16 |
| 1558416511 | David W Hyten | Dentist | 2110 Troy Rd Ste A, Edwardsville, IL 62025-2549 | 2007-01-23 |
| 1801952403 | Gary Michael Fischer | Dentist | 618 St Louis Road, Edwardsville, IL 62025 | 2006-12-28 |
| 1316015753 | Paul T Kundrick Dds,pc | Dentist | 235a S Main St, Edwardsville, IL 62025-1921 | 2006-12-02 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.