TAN DENTAL PRACTICE PLLC (NPI# 1124280664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124280664 |
| Entity Type | Organization |
| Organization Name | TAN DENTAL PRACTICE PLLC |
| Practice Address |
6854 Clyde St Apt 2 Forest Hills NY 11375-5038 |
| Practice Telephone | 7182682798 |
| Mailing Telephone | 7182682798 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | STELLA EI BE TAN (MEMBER) |
| Authorized Official Telephone | 9175158226 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0498641 | NY | Dental Providers |
| Street Address |
6854 CLYDE ST APT 2 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-5038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568770527 | Thalia K Sing | Dentist | 10460 Queens Blvd Ste B, Forest Hills, NY 11375-7318 | 2010-09-23 |
| 1063871374 | Smiles Perfected Orthodontics | Dentist | 10460 Queens Blvd, 1f, Forest Hills, NY 11375-7318 | 2016-02-15 |
| 1134510480 | Sarah Margarita Chicosky | Dentist | 10460 Queens Blvd, Forest Hills, NY 11375-7318 | 2015-02-09 |
| 1306258819 | Simon Cheirif Dds PC | Dentist | 10460 Queens Blvd, St. 1f, Forest Hills, NY 11375-7318 | 2014-06-02 |
| 1528480696 | Svetlana Musheyev | Dentist | 7017 Austin St, Forest Hills, NY 11375-4875 | 2014-01-09 |
| 1083927644 | Angie Chin | Dentist | 10460 Queens Blvd, Parker Towers, Suite 1f, Forest Hills, NY 11375-7318 | 2010-07-23 |
| 1255461521 | Maria L Macdonald | Dentist | 11203 Queens Blvd, Suite 203, Forest Hills, NY 11375-5550 | 2007-03-06 |
| 1437140563 | Eugene Y Lee | Dentist | 10460 Queens Blvd, Suite 1f, Forest Hills, NY 11375-7301 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on TAN DENTAL PRACTICE PLLC.
| 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.