Tanner Mitchell DDS LLC
Dentist in Columbus, IN. Organization (NPI-2).
NPI number1043033293
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1043033293
- Entity type
- Organization (NPI-2)
- Legal business name
- Tanner Mitchell DDS LLC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2024
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
3105 Middle Rd Ste AColumbus, IN 47203-4472
Phone 812-379-4321 · Fax 812-379-1977
Mailing address
219 Lori Ann DrWhiteland, IN 46184-1677
Phone 317-656-0709
Authorized official
Tanner Jameson Mitchell
Owner/Dentist
3176560709
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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