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

MS. Marnelli Deborah Geronimo Tan

Individual provider General Practice Dentistry · NPI 1457277386

MS. Marnelli Deborah Geronimo Tan is a General Practice Dentistry in Gibsonton, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

13127 Kings Lake Dr Unit 101
Gibsonton, FL 33534-3958
Phone: (813) 677-3047
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN32087 (FL)

Record details

NPI number1457277386
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2026
Last updated in NPPESJune 25, 2026
Certification dateJune 4, 2026