Kevin Tan, DDS

  • Las Vegas, NV
  • Dentist
NPI1356913487
Industry payments
$133
Affiliated sites
1
State licenses
2
Year NPI issued
2021
Practice locations
2
Practice address
4205 S Grand Canyon Dr Ste 19 Suite 19, Las Vegas, NV 89147
Practice phone
Call (702) 805-1117
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

Form + Function Dental Aesthetics

Physician office · Las Vegas, Nevada

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Kevin Tan is a dentist in Las Vegas, Nevada

Kevin Tan practices at Form + Function Dental Aesthetics in Las Vegas, Nevada.

Kevin Tan's NPI, 1356913487, was assigned on July 16, 2021. Kevin Tan holds Nevada license 7778.

NPI and contact details
NPI enumeration date
July 16, 2021
NPI status
Active
Practice phone
(702) 805-1117
Professional email
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Personal email
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Mobile number
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Sex
Male

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Kevin Tan practices at 2 locations in Las Vegas, Nevada

Kevin Tan's primary practice is Form + Function Dental Aesthetics, at 4205 S Grand Canyon Dr Ste 19 Suite 19, Las Vegas, NV 89147. The practice phone is (702) 805-1117. The NPI Registry lists Kevin Tan's practice address as 500 E Windmill Ln, Las Vegas, NV 89123.

  • Form + Function Dental AestheticsPrimary
    4205 S Grand Canyon Dr Ste 19 Suite 19, Las Vegas, NV 89147Phone(702) 805-1117
  • NPI Registry address
    500 E Windmill Ln, Las Vegas, NV 89123 · Clark County

Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; and Dmand AI Practice Data

Kevin Tan is affiliated with 1 site of care

Kevin Tan's primary practice is Form + Function Dental Aesthetics in Las Vegas, Nevada.

Form + Function Dental AestheticsPhysician office · Las Vegas, NevadaPrimary

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Kevin Tan's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Kevin Tan practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Form + Function Dental AestheticsAvailable with a free account

Source: Dmand AI Technology Install Data

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Kevin Tan is one of 364 dentists in Nevada

Dentist is Kevin Tan's primary specialty in the NPI Registry, under taxonomy code 122300000X. Dmand AI has Kevin Tan's licenses on file in 2 states: Nevada and California.

Specialties and state licenses

  • Dentist, NevadaPrimaryLicense 7778 · taxonomy 122300000X
  • California licenseLicense 106598

Dentists near Kevin Tan

Counts of dentists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Kevin Tan's patients have a median age of 67

Across all payers, Dmand AI patient panel data puts Kevin Tan's median patient age at 67, with 100% women.

Kevin Tan's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women100%
  • Men0%

Source: Dmand AI Patient Panel Data

Kevin Tan received $133 in industry payments in 2025

CMS Open Payments shows 2 general payments to Kevin Tan from 2 drug and device companies in 2025. Food and beverage make up the largest share, 100% of the total. A-dec, Inc. paid the most, $107.

Companies that paid Kevin Tan the most, 2025 to 2025

Share is of all general payments to this clinician.

See all payments to Kevin Tan

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Sources for Kevin Tan's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDmand AI Practice Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
Industry paymentsOpen Payments (CMS) (opens in a new tab)
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Kevin Tan

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Kevin Tan's NPI number?

Kevin Tan's NPI number is 1356913487. It was assigned on July 16, 2021, and it is active in the NPI Registry.

What does Kevin Tan specialize in?

Kevin Tan is a dentist in Las Vegas, Nevada. The primary specialty in the NPI Registry is Dentist (taxonomy code 122300000X).

Where does Kevin Tan practice?

Kevin Tan practices at 4205 S Grand Canyon Dr Ste 19 Suite 19, Las Vegas, NV 89147. Kevin Tan also practices at 500 E Windmill Ln, Las Vegas, NV 89123. Kevin Tan's primary practice is Form + Function Dental Aesthetics in Las Vegas, Nevada.

What is Kevin Tan's office phone number?

The practice phone on file for Kevin Tan is (702) 805-1117.

What is Kevin Tan's medical license number?

Kevin Tan holds Nevada license 7778, one of the licenses on file in 2 states.

Which states has Kevin Tan been licensed in?

Dmand AI has state licenses on file for Kevin Tan in Nevada and California.

Has Kevin Tan received payments from drug or device companies?

CMS Open Payments shows $133 in general payments to Kevin Tan from 2 companies from 2025 to 2025. The largest total came from A-dec, Inc.

How long has Kevin Tan been practicing?

Kevin Tan's NPI was assigned in 2021.

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