Tan & Damian Professional Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TAN & DAMIAN PROFESSIONAL DENTAL CORP

Practice address

1252 S Abel St
Milpitas, CA 95035-6266

Phone

(408) 945-4444

Fax

(408) 945-4440

NPI assigned

Apr 24, 2024

Organization subpart

No

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

Authorized official

Name

Alvin Tan, DMDNPI 1942381397

Title

President

Phone

(408) 945-4444

Specialties & licenses 1

Addresses

Other names 2

• Liberty Plaza Dental Center Doing business as
• Liberty pLaza dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alvin Olivas Tan, DMD

  • General Practice Dentistry
  • Milpitas, CA
  • NPI 1942381397
  NPD (past) Authorized official
• Jocelyn Damian, DMD

  • General Practice Dentistry
  • Milpitas, CA
  • NPI 1902091853
  NPD

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1942056726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 S ABEL ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356266",
            "telephone_number": "408-945-4444",
            "fax_number": "408-945-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 S ABEL ST",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356266",
            "telephone_number": "408-945-4444",
            "fax_number": "408-945-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAN & DAMIAN PROFESSIONAL DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-945-4444",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Plaza Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberty pLaza dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taberna Dental Corporation
• Milagros Lingat Taberna, DMD
• Ahmad Tahvilian
• Susan Louise Tam, PT
• Alaire Tambo, BEHAVIOR TECH
• Alvin Olivas Tan, DMD
• Khyati Tank
• Tans Health and Acupuncture Inc
• Tao Acupuncture Inc
• Hong Tao, MD

• General Practice Dentistry in Milpitas, CA
• Providers in Milpitas, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.