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

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1518307743

Dr. Jason Tan, DMD, MD is an Oral and Maxillofacial Surgery (Dentist) in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

437 W 125th St
New York, NY 10027-4201
Phone: (646) 827-9819
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 306840 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 057483 (NY)
Dental Anesthesiology Taxonomy 1223D0004X · Licence 057483 (NY)

Record details

NPI number1518307743
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedJuly 2, 2013
Last updated in NPPESAugust 14, 2022
Certification dateJune 26, 2022

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