Tanner Alin Matone, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4541 Issued in AR

Practice address

407 Ar-5
Benton, AR 72019

Phone

(507) 315-1512

NPI assigned

Jul 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Oak Dental PA

  • General Practice Dentistry
  • Conway, AR
  • NPI 1083032379
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1962074294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14107 RIDGEWOOD DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114525",
            "telephone_number": "901-828-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AR-5",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "72019",
            "telephone_number": "507-315-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Center St",
            "address_purpose": "LOCATION",
            "city": "Lonoke",
            "state": "AR",
            "postal_code": "720862805",
            "country_code": "US",
            "telephone_number": "507-676-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Carpenter Dam Rd Ste M",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719018282",
            "country_code": "US",
            "telephone_number": "501-324-3323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 E Oak St Ste B",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720324740",
            "country_code": "US",
            "telephone_number": "501-358-4101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATONE",
        "first_name": "TANNER",
        "middle_name": "ALIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-11-02",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Kay Marts, APRN, PMHNP-BC
• Aamie Renae Mason, M.S.
• Amanda Massey, RECOVERY ASSISTANT
• Benjamin T Mathews, MD
• John D Matlock, LCSW
• Kristi Matthews, O.T.
• Lakesha Nicole Mattin, LPC
• Maxus Inc.
• Alex Maxwell
• Cynthia May, CMP

• General Practice Dentistry in Benton, AR
• Providers in Benton, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.