Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. MARNELLI DEBORAH GERONIMO TAN
NPI 1457277386
Dentist - General Practice in Gibsonton, FL

Q: What is Marnelli Tan's NPI number?

The NPI number for Marnelli Tan is 1457277386. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Q: What is Marnelli Tan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marnelli Tan was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.

Active since June 25, 2026

13127 KINGS LAKE DR UNIT 101, GIBSONTON, FL 33534(813) 677-3047 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Marnelli Deborah Geronimo Tan NPPES

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

MS. MARNELLI DEBORAH GERONIMO TAN (NPI 1457277386) is an individual general practice provider in Gibsonton, Florida, licensed in Florida (DN32087) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1457277386

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameMS. MARNELLI DEBORAH GERONIMO TAN

Location Address13127 KINGS LAKE DR UNIT 101Gibsonton, FL 33534-3958

Mailing Address411 Carriage Crossing CirBrandon, FL 33510-2178

Phone(813) 677-3047

Sole ProprietorYes

Enumeration DateJune 25, 2026

NPPES CertifiedJune 4, 2026

✔ NPI 1457277386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN32087

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.

13127 KINGS LAKE DR UNIT 101, Gibsonton, FL 33534

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Other Providers at the Same Location NPPES 3

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

KIDZONE DENTISTRY PA

Dentist (Pediatric Dentistry)

13127 KINGS LAKE DR UNIT 101
GIBSONTON, FL 33534

Hillsborough County (813) 677-3047

MOUNIKA FALEMBAN DDS

Dentist (Pediatric Dentistry)

13127 KINGS LAKE DR UNIT 101
GIBSONTON, FL 33534

Hillsborough County (813) 677-3047

YARA ABDELAZIZ DMD

Dentist

13127 KINGS LAKE DR UNIT 101
GIBSONTON, FL 33534

Hillsborough County (813) 677-3047

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 Marnelli Tan's NPI number?

The NPI number for Marnelli Tan is 1457277386. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is Marnelli Tan located?

Marnelli Tan practices at 13127 Kings Lake Dr Unit 101, Gibsonton, FL 33534. The listed phone number is (813) 677-3047.

What is Marnelli Tan'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 Marnelli Tan was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.