Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871232173 Individual Practitioner Male Practitioner

Dr. Ethan Tan , DMD

Dentist • Fpo, AP

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Tan, DMD is a registered healthcare professional specializing in Dentist in Fpo, AP. Practice services are available at PSC 482 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Psc 482
Nmrtc Okinawa

Fpo, AP 96362

Telephone 8476882469
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fpo, AP

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
45 Specialists

Practicing in Fpo, AP (127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CO DEN.00205243

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
NPI 1063396273

Doctor of Dental Surgery

Jennifer West

Dentist - General Practice

NPI 1073003430
Dr. Ross Baker , DDS

Dentist - General Practice

NPI 1083195952

Doctor of Dental Surgery

Dr. Samantha Chang , DMD

Dentist - General Practice

NPI 1144100165

Doctor of Dental Medicine

Luis Fernandez

Military Health Care Provider - Independent Duty Corpsman

NPI 1144588039
Maxwell Rooney

Physician Assistant

NPI 1154123560

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location September 08, 2023

Registered at PSC 482, NMRTC OKINAWA, FPO, AP 96362 (Tel: 8476882469)

📍
Updated Business Mailing Address September 08, 2023

Registered at PSC 482, NMRTC OKINAWA, FPO, AP 96362

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2023

Dentist (License #DEN.00205243 in CO)

NPI Profile Active June 03, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2022

Registered at 2410 SAMPSON ST, GREAT LAKES, IL 600882942 (Tel: 8476882469)

📍
Updated Business Mailing Address June 03, 2022

Registered at 1250 S WHITE OAK DR APT 1336, WAUKEGAN, IL 600858357 (Tel: 9712796924)

👤
Provider Name / Credentials Updated June 03, 2022

Recorded as ETHAN TAN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2022

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration June 03, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871232173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2022
Last Update: September 08, 2023
Sole Proprietor: No

Mailing Address

Psc 482, Nmrtc Okinawa

Fpo, AP 96362

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.