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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114273034

Dr. Jun Jine Jack Tan, DMD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3450 Wayne Ave 16L
Bronx, NY 10467-2510
Phone: (347) 972-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114273034
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 29, 2012
Last updated in NPPESJuly 29, 2012

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