Dr. Allen B Tan, DDS
Dentist, Pediatric Dentistry in Philadelphia, PA. Individual provider (NPI-1).
NPI number1962069484
StatusActive
Last updated in NPPESJan 9, 2024
Details
- NPI
- 1962069484
- Entity type
- Individual (NPI-1)
- Name
- Dr. Allen B Tan
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2019
- Certification date
- Jan 9, 2024
- Last updated
- Jan 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | DS043565 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY |
Practice location
6595c Roosevelt BlvdPhiladelphia, PA 19149-2918
Phone 215-743-3700
Mailing address
2116 Chestnut St Unit 2811Philadelphia, PA 19103-4564
Phone 516-508-8116
Other practice locations
245 E 24th St Apt 3f
New York, NY 10010-3824
New York, NY 10010-3824
Phone 516-508-8116
8330 Vietor Ave Ste 102
Elmhurst, NY 11373-3284
Elmhurst, NY 11373-3284
Phone 646-934-0000
56 Atlantic Ave
Freeport, NY 11520-5038
Freeport, NY 11520-5038
Phone 516-600-9145
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