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

Dr. Ethan Tan, DMD

Individual provider Dentist · NPI 1871232173

Dr. Ethan Tan, DMD is a Dentist in FPO, Armed Forces Pacific. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Psc 482 Nmrtc Okinawa
FPO, AP 96362
Phone: (847) 688-2469

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00205243 (CO)

Record details

NPI number1871232173
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 7, 2023
Mailing addressPsc 482, Nmrtc Okinawa, Fpo, AP 96362

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