Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tanner Wallace, DMD

Individual provider Dentist · NPI 1932514130

Dr. Tanner Wallace, DMD is a Dentist in Hanover, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2014.

Licensed in
NH
In the registry since
2014
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

73 Lyme Rd Ste 3
Hanover, NH 03755-1207
Phone: (603) 643-3509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 04057 (NH)

Record details

NPI number1932514130
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESNovember 7, 2014

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