Provider Demographics
NPI:1396145645
Name:TAN, STEVEN K (DMD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:K
Last Name:TAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:15251 SIESTA KEY WAY
Mailing Address - Street 2:APT 460
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5501
Mailing Address - Country:US
Mailing Address - Phone:203-747-4570
Mailing Address - Fax:
Practice Address - Street 1:12520 PROSPERITY DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1664
Practice Address - Country:US
Practice Address - Phone:203-747-4570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-23
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD158421223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry