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KEVIN TAN DDS INC
NPI 1285329680
Dentist - General Practice in San Diego, CA

Active since April 11, 2023
11665 AVENA PL STE 105, SAN DIEGO, CA 92128(858) 674-6161(858) 674-6162 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 17, 2023, Apr 11, 2023 (2 updates tracked since 2023).

About Kevin Tan Dds Inc NPPES

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

KEVIN TAN DDS INC (NPI 1285329680) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since April 2023. The organization lists Kevin Brandon Tan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1285329680
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEVIN TAN DDS INC
Location Address11665 AVENA PL STE 105San Diego, CA 92128-2427
Mailing Address7823 Stylus DrSan Diego, CA 92108-2620 · (909) 633-2303
Phone(858) 674-6161
Fax(858) 674-6162
Organization SubpartNo
Authorized OfficialKevin Brandon TanDentist · (909) 633-2303
Enumeration DateApril 11, 2023
Last NPPES UpdateAugust 17, 20232 updates tracked since enumeration
NPPES CertifiedAugust 17, 2023
✔ NPI 1285329680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11665 AVENA PL STE 105, San Diego, CA 92128
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Other Names 1

Doing Business AsKevin Tan Dds Inc

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN BRANDON TAN DDS
Dentist (General Practice)
11665 AVENA PL STE 105
SAN DIEGO, CA 92128
San Diego County (858) 674-6161

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 Kevin Tan Dds Inc's NPI number?

The NPI number for Kevin Tan Dds Inc is 1285329680. It was assigned to this organization in the NPPES registry on April 11, 2023.

Where is Kevin Tan Dds Inc located?

Kevin Tan Dds Inc is located at 11665 Avena Pl Ste 105, San Diego, CA 92128. The listed phone number is (858) 674-6161.

What is Kevin Tan Dds Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kevin Tan Dds Inc was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.