Konkle & Tanner Dental Care, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KONKLE & TANNER DENTAL CARE, LLC

Practice address

7350 S McClintock Dr
Ste 103
Tempe, AZ 85283-5006

Phone

(480) 838-3073

Fax

(480) 838-5504

NPI assigned

Feb 8, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Houston R Tanner, DDS

Title

Co-Owner

Phone

(480) 838-3073

Specialties & licenses 1

Addresses

Tax ID family

Hatch Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Konkle & Tanner Dental Care, LLC

  • Dentist
  • Tempe, AZ
  • NPI 1124618830
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1346832789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR",
            "address_2": "STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-838-3073",
            "fax_number": "480-838-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 S MCCLINTOCK DR",
            "address_2": "STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852835006",
            "telephone_number": "480-838-3073",
            "fax_number": "480-838-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONKLE & TANNER DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "HOUSTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-838-3073",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlyn Marie Kohler, NP
• Daud Biola Koleosho
• Cheryl Kollin, N.M.D
• Margaret Komar, RNP
• Konkle & Tanner Dental Care, LLC
• Jennifer H. Konkle, D.D.S.
• Mason Benson Konkle, D.D.S.
• Jon A. Konti, M.D.
• Sarah Ashley Koop, MED, LPC
• Malorey Ann Kooyman, MS, BCBA, LBA

• Dentist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.