Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Justin Tan, DDS

Individual provider General Practice Dentistry · NPI 1235536475

Justin Tan, DDS practises General Practice Dentistry in Longview, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
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

1057 12th Ave
Longview, WA 98632-2509 Not confirmed with CMS for 11 years — call before visiting
Phone: (360) 414-1300
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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 DE60502542 (WA)

Record details

NPI number1235536475
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 3, 2014
Last updated in NPPESDecember 3, 2014

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