Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235536475 Individual Practitioner Male Practitioner

Dr. Justin Tan , DDS

Dentist - General Practice • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Justin Tan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Longview, WA. Practice services are available at 1057 12TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1057 12th Ave

Longview, WA 986322509

Telephone 3604141300
Associated Practice Facility / Clinic
🏢 Cowlitz Family Health Center Facility NPI 1891724506

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
28 Specialists

Practicing in Longview, WA (3345 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60502542

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1073079984

DENTALHYGIENIST

Dr. Serena Xu , DDS

Dentist - General Practice

NPI 1356107288

Doctor of Dental Surgery

Dr. Roxane Oshiro , DDS

Dentist - General Practice

NPI 1396781936

Doctor of Dental Surgery

Dr. Michael Suk , DDS

Dentist - General Practice

NPI 1528824117

Doctor of Dental Surgery

Dr. Ariel Park , DMD

Dentist - General Practice

NPI 1619524857

Doctor of Dental Medicine

Dr. Lee Hermen , DDS

Dentist - General Practice

NPI 1649336470

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 03, 2014

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

📍
Updated Business Mailing Address December 03, 2014

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3604141300)

👤
Provider Name / Credentials Updated December 03, 2014

Recorded as JUSTIN TAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 03, 2014

Dentist (License #DE60502542 in WA)

🟢
Initial NPI Registration & Enumeration December 03, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Justin Tan. Be the first to share your experience!

Sign in to leave a review for Dr. Justin Tan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1235536475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2014
Last Update: December 03, 2014
Sole Proprietor: No

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3604141300

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.