# TAN H. VAN, DDS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386805729
- **Authorized official:** DR. TAN H. VAN DDS (PRESIDENT)
- **Authorized official phone:** (913) 441-9553

## Contact information

- **Practice address:** 22038 W 66TH ST, SHAWNEE, KS 66226-3500
- **Practice address phone:** (913) 441-9553
- **Practice address fax:** (913) 441-9559
- **Mailing address:** 23519 W 46TH ST, SHAWNEE, KS 66226-2508
- **Mailing address phone:** (913) 441-9553
- **Mailing address fax:** (913) 441-9559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60033 | KS | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 06/18/2008