1. Home
  2. Directory
  3. NPI Profile

DR. MICA YSABEL TAN DMD
NPI 1467188532
Dentist - General Practice in Apo, AE

Active since July 29, 2022
MEDDAC-BAVARIA, CMR 411, APO, AE 09112(314) 590-3247 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 29, 2022 (2 updates tracked since 2022).

About Dr. Mica Ysabel Tan Dmd NPPES

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

DR. MICA YSABEL TAN DMD (NPI 1467188532) is an individual general practice provider in Apo, AE, licensed in Washington (DE61297496) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1467188532
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICA YSABEL TANCredential: DMD
Location AddressMEDDAC-BAVARIA, CMR 411Apo, AE 09112
Mailing AddressMeddac-bavaria, Cmr 411Apo, NY 09112 · (314) 590-3247
Phone(314) 590-3247
Sole ProprietorYes
Enumeration DateJuly 29, 2022
Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1467188532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE61297496
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.

Other Providers at the Same Location NPPES 20

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

MR. ANDREW S JARMUS MSW, LCSW
Social Worker (Clinical)
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(314) 590-3615
PATRICK MICHAEL ROBERTS PA
Physician Assistant
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(586) 354-0576
DR. ROBERT CLARK HAYNES III DO, MPH
Preventive Medicine (Public Health & General Preventive Medicine)
MEDDAC-BAVARIA, CMR 411 UNIT 28037
APO, AE 09112
(253) 968-4986
MARK PARK DDS
Dentist
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(314) 590-2800
ALEXIS ELIZABETH MARSHALL PA-C
Physician Assistant
MEDDAC-BAVARIA, PSC 411 UNIT 28037
APO, AE 09112
(757) 339-9767
DOUGLAS SPENCER PA-C
Physician Assistant
MEDDAC-BAVARIA, PSC 411 UNIT 28037
APO, AE 09112
(314) 590-2500
MS. KRISTI LYNN JACKSON LCSW
Social Worker (Clinical)
MEDDAC-BAVARIA, PSC 411 BUILDING 700 UNIT 28307
APO, AE 09112
(491) 601-2373
JUSTIN M KILGORE DPT
Physical Therapist
MEDDAC-BAVARIA, CMR 411
APO, AE 09112
(314) 390-4324

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 Mica Tan's NPI number?

The NPI number for Mica Tan is 1467188532. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Where is Mica Tan located?

Mica Tan practices at Meddac-Bavaria Cmr 411, Apo, AE 09112. The listed phone number is (314) 590-3247.

What is Mica 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 Mica Tan was last updated on July 24, 2024. 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.