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

Kevin Brandon Tan, DDS

Individual provider General Practice Dentistry · NPI 1821499856

Kevin Brandon Tan, DDS is a General Practice Dentistry in San Diego, California. Licensed in California and Nevada. Registered with an NPI since 2014.

Licensed in
CA, NV
In the registry since
2014
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

11665 Avena Pl Ste 105
San Diego, CA 92128-2427
Phone: (858) 674-6161
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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 63870 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 6525 (NV)

Record details

NPI number1821499856
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 9, 2014
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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