David A Tanner, DDS in Newhall, CA - Medicare Dentist Provider

David A Tanner, DDS is a medicare enrolled "Dentist - General Practice" provider in Newhall, California. His current practice location is 22800 Lyons Ave, Suite 200, Newhall, California. You can reach out to his office (for appointments etc.) via phone at (661) 254-1884.

David A Tanner is licensed to practice in California (license number 30463) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043435936.

Contact Information

	David A Tanner, DDS
	22800 Lyons Ave, Suite 200, Newhall, CA 91321
	(661) 254-1884
	(661) 254-3655

Healthcare Provider's Profile

Full Name	David A Tanner
Gender	Male
Speciality	Dentist - General Practice
Location	22800 Lyons Ave, Newhall, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043435936
Provider Enumeration Date: 04/16/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9931426368
Enrollment ID: I20150324002329

Medical Identifiers

Medical identifiers for David A Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043435936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	30463 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David A Tanner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
David A Tanner, DDS 22800 Lyons Ave, Suite 200, Newhall, CA 91321 Ph: (661) 254-1884	David A Tanner, DDS 22800 Lyons Ave, Suite 200, Newhall, CA 91321 Ph: (661) 254-1884

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Dentist in Newhall, CA

Dr. Rafael Poblete Sustento, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23206 Lyons Ave Ste 208, Newhall, CA 91321 Phone: 661-799-9828 Fax: 661-799-9823
Dr. Steven Dale Gilbertson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 23206 Lyons Ave, Suite 206, Newhall, CA 91321 Phone: 661-259-2388 Fax: 661-259-2497
Mark Lim Ngan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 23033 Lyons Ave, Suite 5, Newhall, CA 91321 Phone: 661-255-0400 Fax: 661-255-0408
Dr. Neil Eiji Tamashiro-miyamoto, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 24725 Meadview Ave, Newhall, CA 91321 Phone: 661-476-4865
Dr. Jerrold H. Singer, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 25061 Peachland Ave, Newhall, CA 91321 Phone: 661-255-7530
Dr. Lawrence M Lozada, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 24148 Lyons Ave, Newhall, CA 91321 Phone: 661-799-3920

David A Tanner, DDS - Medicare Dentist in Newhall, CA