Gustafson, Tanner
Gustafson, Tanner is an sole proprietor health care provider with primary practice located at 27A Kemmerlin Ln , Beaufort SC 29907-2702. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Gustafson, Tanner can be contacted via phone (843) 522-2007.Contact Information
Primary practice address
27A Kemmerlin Ln
Beaufort SC 29907-2702
Phone: (843) 522-2007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN122359 | Georgia |
| Dental Providers / General Practice | 1223G0001X | 10270 | South Carolina |
Profile Details
| NPI number | 1669049821 |
|---|---|
| LBN Legal business name | Gustafson, Tanner |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 7th, 2021 |
| Last updated | May 3rd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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