Tan, Jennifer

Tan, Jennifer is an individual health care provider with primary practice located at 86-260 Farrington Hwy , Waianae HI 96792-3128. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Tan, Jennifer can be contacted via phone (808) 697-3300.

Contact Information

Primary practice address
86-260 Farrington Hwy Waianae HI 96792-3128
Phone: (808) 697-3300
Fax: (808) 696-7093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 053093 New York
Dental Providers / Dentist 122300000X DT-2318 Hawaii

Profile Details

NPI number 1689788093
LBN Legal business name Tan, Jennifer
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Aug 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689788093 NPPES
Other 1932082 UNITED CONCORDIA
MEDICAID DD3780 UNITED CONCORDIA

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