Individual provider · Type 1 NPI

Allen B. Tan, DDS

Pediatric Dentistry · Philadelphia, PA

NPI number 1962069484 Active

Practice location

6595C Roosevelt Blvd
Philadelphia, PA 19149-2918

Mailing address

2116 Chestnut St Unit 2811
Philadelphia, PA 19103-4564

Other practice locations

  • 56 Atlantic Ave, Freeport, NY 11520-5038 · (516) 600-9145
  • 8330 Vietor Ave Ste 102, Elmhurst, NY 11373-3284 · (646) 934-0000
  • 245 E 24th St Apt 3F, New York, NY 10010-3824 · (516) 508-8116

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221XDS043565 (PA)

Pediatric Dentistry: 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.

2 other providers at this address

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About NPI 1962069484

Allen B. Tan, DDS's National Provider Identifier is 1962069484, issued on May 20, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 9, 2024.