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

Dr. Kenneth Tannenbaum, DDS

Individual provider General Practice Dentistry · NPI 1861412934

Dr. Kenneth Tannenbaum, DDS is a General Practice Dentistry in Melville, New York. Practices as a sole proprietor. Licensed in New York.

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.

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Practice location Address checks out

1 Wilmington Dr
Melville, NY 11747-4013
Phone: (631) 643-5079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 038949 (NY)

Record details

NPI number1861412934
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1 Wilmington Dr, Melville, NY 11747-4013

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