TAN DENTAL PRACTICE PLLC
NPI 1124280664
Dentist - Pediatric Dentistry in Forest Hills, NY

Active since June 26, 2008
6854 CLYDE ST, APT 2, FOREST HILLS, NY 11375(718) 268-2798 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tan Dental Practice Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAN DENTAL PRACTICE PLLC (NPI 1124280664) is a healthcare organization registered as a pediatric dentistry in Forest Hills, New York and active in the NPI registry since June 2008. The organization lists Stella Ei Be Tan, Member, as its authorized official.

NPPES Registry Identity

NPI1124280664
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTAN DENTAL PRACTICE PLLC
Location Address6854 CLYDE ST, APT 2Forest Hills, NY 11375-5038
Mailing Address6854 Clyde St, Apt 2Forest Hills, NY 11375-5038 · (718) 268-2798
Organization SubpartNo
Authorized OfficialStella Ei Be TanMember · (917) 515-8226
Enumeration DateJune 26, 2008
NPI 1124280664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 0498641
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6854 CLYDE ST, Forest Hills, NY 11375

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tan Dental Practice PLLC's NPI number?

The NPI number for Tan Dental Practice PLLC is 1124280664. It was assigned to this organization in the NPPES registry on June 26, 2008.

Where is Tan Dental Practice PLLC located?

Tan Dental Practice PLLC is located at 6854 Clyde St Apt 2, Forest Hills, NY 11375. The listed phone number is (718) 268-2798.

What is Tan Dental Practice PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tan Dental Practice PLLC was last updated on June 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.