Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Tan DDS LLC

Organization General Practice Dentistry · NPI 1962389106

Kevin Tan DDS LLC is a General Practice Dentistry in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4205 S Grand Canyon Dr Ste 19
Las Vegas, NV 89147-7152
Phone: (702) 805-1117
Fax: (702) 805-1180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1962389106
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Tan — Owner Dentist · (702) 805-1117
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address4205 S Grand Canyon Dr Ste 19, Las Vegas, NV 89147-7152

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