DR. MADELEINE WAN YONG TAN (NPI# 1003395922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003395922 |
| Entity Type | Individual |
| Full Name | DR. MADELEINE WAN YONG TAN |
| Credential | BDSC, MDS |
| Practice Address |
1200 Centre St Roslindale MA 02131-1000 |
| Mailing Address |
143 Park Dr Apt 43 Boston MA 02215-5160 |
| Practice Telephone | 6173782326 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DL13729 | MA | Dental Providers |
| Street Address |
1200 CENTRE ST |
| City | ROSLINDALE |
| State | MA |
| Zip Code | 02131-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607917 | Frederick Rowland | Internal Medicine | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1000 | 2005-05-23 |
| 1013517911 | Madeleine Bonneville | Physical Therapist | 1200 Centre St, Roslindale, MA 02131-1011 | 2020-10-29 |
| 1295384436 | Alaa H Qari | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-09-10 |
| 1790338473 | Prajakta Joshi | Student in an Organized Health Care Education/Training Program | 1200 Centre St, Roslindale, MA 02131-1000 | 2019-07-22 |
| 1477069391 | Hebrew Seniorlife Affiliated Medical Group Inc | Internal Medicine | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-12-15 |
| 1962929604 | Rachael Falk | Psychologist | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-24 |
| 1154847507 | Geraldo Silva | Nurse Practitioner | 1200 Centre St, Roslindale, MA 02131-1000 | 2017-08-17 |
| 1114360195 | Olivia Justine Liff | Family Medicine | 1200 Centre St, Roslindale, MA 02131-1000 | 2013-04-09 |
| 1194078220 | Susan A Poludniak | Dietitian, Registered | 1200 Centre St, Department of Medicine, Roslindale, MA 02131-1011 | 2012-10-26 |
| 1205189032 | Patricia Aie-lan Wong | Nurse Practitioner | 1200 Centre St, Roslindale, MA 02131-1000 | 2012-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120513 | Wells of Wellness, LLC | Registered Nurse | 993 South Street, Apt, Suite, Floor, Etc., Roslindale, MA 02131 | 2020-10-08 |
| 1760952881 | Patricia J Dunn | Social Worker | 51 Braden Street, Roslindale, MA 02131 | 2018-12-01 |
| 1750864518 | Maria T. Alvarado | Social Worker | 18 Manusr Street, Roslindale, MA 02131 | 2018-09-07 |
| 1306342951 | Roslindale Center Chiropractic Inc | Chiropractor | 17 Corinth St, Roslindale, MA 02131 | 2018-04-03 |
| 1629511241 | Maddy Morrin | Student in an Organized Health Care Education/Training Program | 17 Archdale Rd, Roslindale, MA 02131 | 2016-11-30 |
| 1346600434 | Stephanie Messina | Student in an Organized Health Care Education/Training Program | Home for Little Wanderers Clinic, 780 American Legion Hwy, Roslindale, Ma 02131, Roslindale, MA 02131 | 2016-03-02 |
| 1497143762 | Priority Home Care Services LLC | Home Health | 43 Cummins High Way, Suite 3, Boston, MA 02131 | 2015-01-08 |
| 1841610078 | Ryan Kennedy | Student in an Organized Health Care Education/Training Program | 478 American Legion Highway, Roslindale, MA 02131 | 2014-04-28 |
| 1780011833 | Casey A Pagliaro | Marriage & Family Therapist | 4238 Washington Street, Suite 316, The Leggett Group, Roslindale, MA 02131 | 2013-10-03 |
| 1902238025 | Ann Wheeler | Social Worker | Thlw 780 American Legion Highway, Roslindale, MA 02131 | 2013-07-31 |
| Find all providers in zip 02131 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801200514 | Randi Mellon | Dentist | 950 American Legion Hwy, Roslindale, MA 02131-4701 | 2014-06-20 |
| 1073757050 | Harry P. Treon Inc | Dentist | 4452 Washington St, Roslindale, MA 02131-3440 | 2009-04-22 |
| 1063668028 | Eugene Bark Dmd and Ssociates PC | Dentist | 152 Belgrade Ave, Roslindale, MA 02131-2433 | 2008-08-11 |
| 1891810610 | Harry Peter Treon | Dentist | 4452 Washington Street, Roslindale, MA 02131 | 2007-03-20 |
| 1912921271 | Robert A Oneill | Dentist | 1048 South St, Roslindale, MA 02131 | 2006-07-27 |
| 1649292509 | Christina Elizabeth Spagnuolo | Dentist | 1048 South Street, Roslindale, MA 02131 | 2006-07-23 |
| 1245715408 | Maulikkumar N Patel | Dentist | 950 American Legion Hwy, Roslindale, MA 02131-4701 | 2018-10-03 |
| 1659880318 | Vaibhav Mahesh Jagad | Dentist | 644 American Legion Hwy, Roslindale, MA 02131-3901 | 2017-09-26 |
| 1558887232 | Amira Omar | Dentist | 644 American Legion Hwy, Roslindale, MA 02131-3901 | 2017-08-15 |
| 1154664027 | Parkway Dental LLC | Dentist | 893 South St, Roslindale, MA 02131-2411 | 2013-03-29 |
| Find all providers in ROSLINDALE | ||||
| City | ROSLINDALE |
| Zip Code | 02131 |
Please comment or provide details below to improve the information on DR. MADELEINE WAN YONG TAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.