Kenneth Aldric Tang, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

18510 Issued in MD

Practice address

3130 Olney Sandy Spring Rd
Olney, MD 20832-1408

Phone

(240) 665-5485

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Olney Modern Dentistry, LLC

  • General Practice Dentistry
  • Olney, MD
  • NPI 1316671019
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1639935646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 LINCOLNSHIRE ST",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032520",
            "telephone_number": "571-533-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321408",
            "telephone_number": "240-665-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Marlton Pike E Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032123",
            "country_code": "US",
            "telephone_number": "856-746-6280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191482216",
            "country_code": "US",
            "telephone_number": "215-383-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "385 Garrisonville Rd",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541545",
            "country_code": "US",
            "telephone_number": "540-657-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "KENNETH",
        "middle_name": "ALDRIC",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "VA",
            "license": "401419351",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS043815",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI03124600",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "DC",
            "license": "DEN2001559",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MD",
            "license": "18510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin Neil Tabb, M.D.
• Sara Taillie
• Tiffany Jonay Taliaferro, M.A., CCC-SLP
• Talk & Learn, LLC
• Sidney Theodore Tan, LMSW
• Lynn Tang
• Edward Philip Taubman, M.D.
• Anis Tebyanian, D.M.D. M.D.
• Rachel Danielle Teicher, PHYSICIAN ASSISTANT
• Teletherapy Connections, LLC

• Periodontics in Olney, MD
• Providers in Olney, MD by specialty
• Periodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.