Active NPIIndividual provider

Dr. Madeleine W Tan, BDSC, MDS

Dentist in Roslindale, Massachusetts

NPI Number1003395922
Practice location
1200 Centre St, Roslindale, MA 02131-1000
Fax
—
Last updated
August 10, 2018

Madeleine Wan Yong Tan is a Dentist based in Roslindale, MA. Madeleine Wan Yong Tan practices in Roslindale, MA and has the professional credentials of BDSC, MDS. The NPI Number for Madeleine Wan Yong Tan is 1003395922 and holds a License No. DL13729 (MA). The current practice location address for Madeleine Wan Yong Tan is 1200 Centre St, Roslindale, MA 02131-1000 and can be reached out via phone at 617-378-2326.

Provider Profile Details

NPI Number
1003395922
Provider Name
Madeleine Wan Yong Tan
Credential
BDSC, MDS
Provider Entity Type
Individual
Gender
Female
Address
1200 Centre St, Roslindale, MA 02131-1000
Phone Number
617-378-2326
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2018
Last Update Date
August 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Centre St
Roslindale, MA 02131-1000
Zip
02131-1000
Phone Number
617-378-2326
Roslindale, MA 02131Get directions →

Provider Business Mailing Address Details

Address
143 Park Dr Apt 43
Boston, MA 02215-5160
City
Boston
State
MA
Zip
02215-5160

License Information

License Number
DL13729
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Madeleine W Tan, BDSC, MDS?

The NPI number of Dr. Madeleine W Tan, BDSC, MDS is 1003395922. It was assigned on August 10, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Madeleine W Tan, BDSC, MDS?

Dr. Madeleine W Tan, BDSC, MDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DL13729.

Where does Dr. Madeleine W Tan, BDSC, MDS practice?

The practice location is 1200 Centre St, Roslindale, MA 02131-1000. The office can be reached at 617-378-2326 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003395922 directly on the NPPES registry website.

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