Provider Demographics
NPI:1326237173
Name:TSAI, ALLAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4942 REEDY BROOK LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1514
Mailing Address - Country:US
Mailing Address - Phone:301-775-7817
Mailing Address - Fax:
Practice Address - Street 1:4942 REEDY BROOK LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-1514
Practice Address - Country:US
Practice Address - Phone:301-775-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC300618104100000X
DCDC 3734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker