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

Dr. Donald R Tanenbaum, DDS

Individual provider Dentist · NPI 1134132640

Dr. Donald R Tanenbaum, DDS practises Oral Surgery in New York, New York. Qualified in 1982, 44 years ago. Licensed in New York.

Years since qualifying
44
Licensed in
NY
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

630 5th Ave Ste 1857
New York, NY 10111 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 265-0110
Fax: (212) 265-1767
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0371171 (NY)

Record details

NPI number1134132640
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated

Other providers in New York