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KEVIN TAN DDS LLC
NPI 1962389106
Dentist - General Practice in Las Vegas, NV

Active since August 19, 2025
4205 S GRAND CANYON DR STE 19, LAS VEGAS, NV 89147(702) 805-1117(702) 805-1180 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin Tan Dds Llc NPPES

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

KEVIN TAN DDS LLC (NPI 1962389106) is a healthcare organization registered as a general practice in Las Vegas, Nevada and active in the NPI registry since August 2025. The organization lists Kevin Tan, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1962389106
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEVIN TAN DDS LLC
Location Address4205 S GRAND CANYON DR STE 19Las Vegas, NV 89147-7152
Mailing Address4205 S Grand Canyon Dr Ste 19Las Vegas, NV 89147-7152 · (702) 805-1117
Phone(702) 805-1117
Fax(702) 805-1180
Organization SubpartNo
Authorized OfficialKevin TanOwner Dentist · (702) 805-1117
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1962389106 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.
4205 S GRAND CANYON DR STE 19, Las Vegas, NV 89147
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Other Identifiers 1

Other7778NV · Dental License

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 3

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

CURRENT GROUP LLC
Dentist (General Practice)
4205 S GRAND CANYON DR STE 19
LAS VEGAS, NV 89147
Clark County (702) 257-9177
DR. KEVIN TAN DDS
Dentist
4205 S GRAND CANYON DR STE 19
LAS VEGAS, NV 89147
Clark County (702) 805-1117
ATLAS ARANAS, PLLC
Dentist (General Practice)
4205 S GRAND CANYON DR STE 19
LAS VEGAS, NV 89147
Clark County (702) 538-7888

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 LLC's NPI number?

The NPI number for Kevin Tan Dds LLC is 1962389106. It was assigned to this organization in the NPPES registry on August 19, 2025.

Where is Kevin Tan Dds LLC located?

Kevin Tan Dds LLC is located at 4205 S Grand Canyon Dr Ste 19, Las Vegas, NV 89147. The listed phone number is (702) 805-1117.

What is Kevin Tan Dds LLC'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 LLC was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.