MR. PAUL BENJAMIN TANNER


Address: 3474 S 100 E, Bountiful, UT 84010-6605
Phone: 8019970545

MR. PAUL BENJAMIN TANNER (NPI# 1760607428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760607428
Entity Type Individual
Full Name MR. PAUL BENJAMIN TANNER
Credential MBA, CCA
Practice Address 3474 S 100 E
Bountiful
UT 84010-6605
Practice Telephone 8019970545
Practice Fax Number 8889775399
Mailing Telephone 8019970545
Mailing Fax Number 8889775399
Enumeration Date 2007-04-16
Last Update Date 2015-11-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 246ZA2600X Specialist/Technologist, Other
Specialization: Art, Medical
Technologists, Technicians & Other Technical Service Providers
Y 229N00000X Anaplastologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers PAUL TANNER

NPI Name Taxonomy Address Enumeration
1972635316 Paul Lee Tanner Dentist 175 South Center Street, Duchesne, UT 84021-0477 2007-03-12
1508476888 Paul Tanner Case Manager/Care Coordinator 201 22nd St, Ashland, KY 41101-7803 2020-08-03
1003921404 Paul R Tanner Radiology 6019 Walnut Grove, Memphis, TN 38120 2006-08-19

Office Location

Street Address 3474 S 100 E
City BOUNTIFUL
State UT
Zip Code 84010-6605

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255570099 Custom Dme, LLC Durable Medical Equipment & Medical Supplies 3474 S 100 E, Bountiful, UT 84010-6605 2009-02-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225699192 Jessyca K Willie Behavior Technician 415 S. Medical Drive Suite D101, Bountiful, UT 84010 2019-06-21
1336634344 Shanna Joy Jaggers Social Worker 2333 S 200 E, Bountiful, UT 84010 2018-06-22
1447773171 Live Life Alarms Emergency Response System Companies 640 South 500 West, Bountiful, UT 84010 2017-07-25
1902328842 Hailey Embley Behavior Technician 415 Medical Drive D 101, Bountiful, UT 84010 2017-07-12
1508318031 Beverly Nielsen Psychologist 1001 Lakeview Drive, Bountiful, UT 84010 2016-11-01
1295287720 Samantha Oslund Speech-Language Pathologist 415 Medical Dr Ste B102, Bountiful, UT 84010 2016-11-01
1750748273 Jeremy Clark Morris Dentist 59 W 1600 N, Suite 110, Bountiful, UT 84010 2016-01-28
1629464706 Shane James Speech-Language Pathologist 425 Medical Dr Ste 122, Bountiful, UT 84010 2015-04-15
1891186102 Kenton Francis Social Worker 1355 North Main Street #1, Bountiful, UT 84010 2015-02-09
1205233855 Modern Dental Professionals - Utah, PC Dentist 24 S. 500 West, #a, Bountiful, UT 84010 2014-11-25
Find all providers in zip 84010

Taxonomy Information

Taxonomy Code 229N00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Anaplastologist

Taxonomy Definition

An anaplastologist is a professional who creates prostheses for the face and body. Patients treated include those missing anatomy due to cancer, traumatic injury, or birth differences. Generally, there are no state licensing requirements for anaplastologists. Certification specific to anaplastology is provided through the Board for Certified Clinical Anaplastology (BCCA) with a credential title of Certified Clinical Anaplastologist (CCA).
Notes: Source: American Anaplastology Association, www.anaplastology.org. [7/1/2006: new]

Competitor

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City BOUNTIFUL
Zip Code 84010

Improve Information

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Dataset Information

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.

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