DR. ALLEN B TAN DDS
NPI 1962069484
Dentist - Pediatric Dentistry in Philadelphia, PA

Active since May 20, 2019
6595C ROOSEVELT BLVD, PHILADELPHIA, PA 19149(215) 743-3700 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2022, Sep 8, 2021, May 20, 2019 (3 updates tracked since 2019).

About Dr. Allen B Tan Dds NPPES

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

DR. ALLEN B TAN DDS (NPI 1962069484) is an individual pediatric dentistry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS043565) and active in the NPI registry since May 2019. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962069484
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. ALLEN B TANCredential: DDS
Location Address6595C ROOSEVELT BLVDPhiladelphia, PA 19149-2918
Mailing Address2116 Chestnut St Unit 2811Philadelphia, PA 19103-4564 · (516) 508-8116
Sole ProprietorNo
Enumeration DateMay 20, 2019
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
NPI 1962069484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PA · DS043565
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.
6595C ROOSEVELT BLVD, Philadelphia, PA 19149

Secondary Practice Locations 3

Location 156 Atlantic AveFreeport, NY 11520-5038 · Phone (516) 600-9145
Location 2245 E 24th St Apt 3FNew York, NY 10010-3824 · Phone (516) 508-8116
Location 38330 Vietor Ave Ste 102Elmhurst, NY 11373-3284 · Phone (646) 934-0000

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (Orthodontics and Dentofacial Orthopedics)
6595C ROOSEVELT BLVD
PHILADELPHIA, PA 19149
Dentist (Pediatric Dentistry)
6595C ROOSEVELT BLVD
PHILADELPHIA, PA 19149

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 Allen Tan's NPI number?

The NPI number for Allen Tan is 1962069484. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Allen Tan located?

Allen Tan practices at 6595C Roosevelt Blvd, Philadelphia, PA 19149. The listed phone number is (215) 743-3700.

What is Allen Tan's specialty?

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

What insurance does Allen Tan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Allen Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allen Tan was last updated on January 9, 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.