Doctor profile · Federal record
Dr. Tanner Godfrey, DMD
Orthodontics and Dentofacial Orthopedic Dentist · Orthodontics and Dentofacial Orthopedic Dentist · Syracuse, UT
- NPI 1669101200
- 4 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
736 S 2000 W Ste 2
Syracuse, UT 840759692
(801) 614-9090 - Additional location
-
929 S Utah Ave
Idaho Falls, ID 834023322
(208) 932-0433 - Mailing address
-
3000 Lisa Ln
Fultondale, AL 350681025
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Profile last updated
- March 5, 2025
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (2)
- Utah #12890244-9922 · Idaho #2571247
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669101200. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$296
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $171.61 | |
| Solventum Corporation | 2 | $124.19 |
By nature of payment
Frequently asked questions
What is Dr. Tanner Godfrey's medical specialty?
Dr. Tanner Godfrey practices Orthodontics and Dentofacial Orthopedic Dentist in Syracuse, UT.
Where does Dr. Tanner Godfrey practice?
Dr. Tanner Godfrey practices at 736 S 2000 W Ste 2, Syracuse, UT 840759692. Office phone: 8016149090.
What is Dr. Tanner Godfrey's NPI?
Dr. Tanner Godfrey's National Provider Identifier (NPI) is 1669101200, issued by NPPES.