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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. KIMTY TAN D.M.D
NPI 1265424642
Dentist in Philadelphia, PA

Active since August 22, 2005
1018 W LEHIGH AVE, PHILADELPHIA, PA 19133(215) 227-1881 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimty Tan D.m.d NPPES

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

DR. KIMTY TAN D.M.D (NPI 1265424642) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS026581-L) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1265424642
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. KIMTY TANCredential: D.M.D
Location Address1018 W LEHIGH AVEPhiladelphia, PA 19133-1640
Mailing Address5761 N 6th StPhiladelphia, PA 19120-2201 · (215) 924-8056
Phone(215) 227-1881
Sole ProprietorNo
Enumeration DateAugust 22, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1265424642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS026581-L
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1018 W LEHIGH AVE, Philadelphia, PA 19133
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Other Identifiers 1

Medicaid0011577740002PA

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 Kimty Tan's NPI number?

The NPI number for Kimty Tan is 1265424642. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Kimty Tan located?

Kimty Tan practices at 1018 W Lehigh Ave, Philadelphia, PA 19133. The listed phone number is (215) 227-1881.

What is Kimty Tan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kimty Tan was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.