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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235768995

Dr. Suejane IV Tan, DDS is a Student in an Organized Health Care Education/Training Program in Silver Spring, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2020
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.

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Practice location Address checks out

13321 New Hampshire Ave Ste 102
Silver Spring, MD 20904-3450
Phone: (301) 989-3400
Fax: (301) 989-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 221266 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235768995
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 5, 2020
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021
Mailing address300 Nova Ct, Silver Spring, MD 20904-5901

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