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

Dr. James Kim Tan, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609141530

Dr. James Kim Tan, DDS is a Student in an Organized Health Care Education/Training Program in Lakewood, California. Works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2012
Specialties on file
2
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 →

Practice location Address checks out

5803 Candlewood St
Lakewood, CA 90713-1828
Phone: (562) 882-4208
Show map & directions

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

Additional practice locations (1)

  • 240 W 98th St Apt 11d, New York, NY 10025-5516 — (562) 882-4208

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 63884 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1609141530
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 10, 2012
Last updated in NPPESMay 1, 2022
Certification dateMay 1, 2022

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