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Stephanie Tan
Pediatric Dentist in Lafayette, Indiana
NPI 1326657511

Stephanie Tan is a Pediatric Dentist based in Lafayette, IN and is specialized in Pediatric Dentistry. Stephanie Tan practices in Lafayette, IN. The NPI Number for Stephanie Tan is 1326657511 and holds a License No. (Indiana).

The current practice location address for Stephanie Tan is 2347 Cason St, Lafayette, IN and can be reached out via phone at 765-447-6808.

Location: 2347 Cason St, Lafayette, IN, 47905-8909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326657511
Provider Name
Stephanie Tan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2347 Cason St, Lafayette, IN, 47905-8909
Phone Number
765-447-6808
Fax Number
Provider Enumeration Date
07/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2347 Cason St
City
Lafayette
State
Indiana
Zip
47904-2670
Phone Number
765-447-6808
Fax Number
person
Provider Business Mailing Address Details
Address
2347 Cason St
City
Lafayette
State
Indiana
Zip
47904-2670
Phone Number
765-447-6808
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12013876A (Indiana)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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