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

Jonathan Corey Tanner

Individual provider Dentist · NPI 1720623606

Jonathan Corey Tanner is a Dentist in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

1344 22nd St S
St Petersburg, FL 33712-2744
Phone: (727) 824-8181
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN24535 (FL)

Record details

NPI number1720623606
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 14, 2019
Last updated in NPPESNovember 14, 2019

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