Provider Demographics
NPI:1700928512
Name:ORR, TANYA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:HANKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6880 W COUNTY HIGHWAY 30A
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-3521
Mailing Address - Country:US
Mailing Address - Phone:850-267-3313
Mailing Address - Fax:850-267-3370
Practice Address - Street 1:6880 W COUNTY HIGHWAY 30A
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-3521
Practice Address - Country:US
Practice Address - Phone:850-267-3313
Practice Address - Fax:850-267-3370
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN171991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice