DR. Clelen Clarence Tanner, DDS is a general practice dentist in Hayward, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Clelen Clarence Tanner, DDS NPI is 1215080445. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
21911 FOOTHILL BLVD
HAYWARD, CA
ZIP 94541-118
Phone: (510) 733-1455
Fax: (510) 889-8395
The NPI 1215080445 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.