IndividualActive
Allen Tan, DDS
NPI 1962069484 · Pediatric Dentistry · Philadelphia, PA
Provider details
- NPI number
- 1962069484
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6595c Roosevelt Blvd
Philadelphia, PA 19149-2918
Phone: (215) 743-3700
Street-level locationGet directions
Mailing address
2116 Chestnut St Unit 2811
Philadelphia, PA 19103-4564
Additional practice locations (3)
- 8330 Vietor Ave Ste 102Elmhurst, NY 11373-3284Phone: (646) 934-0000
- 56 Atlantic AveFreeport, NY 11520-5038Phone: (516) 600-9145
- 245 E 24th St Apt 3fNew York, NY 10010-3824Phone: (516) 508-8116
Registry dates
- Enumerated
- 2019-05-20
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.