Marnelli Deborah Geronimo Tan
General Practice Dentistry · Gibsonton, FL
Practice location
13127 Kings Lake Dr Unit 101Gibsonton, FL 33534-3958
- Phone
- (813) 677-3047
NPI record
- NPI
- 1457277386
- Entity type
- Individual (Type 1)
- Enumeration date
- June 25, 2026
- Last updated
- June 25, 2026
- Certified
- June 4, 2026
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DN32087 | FL |
Mailing address
411 Carriage Crossing CirBrandon, FL 33510-2178
About Marnelli Tan
Marnelli Deborah Geronimo Tan is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 13127 Kings Lake Dr Unit 101, Gibsonton, FL 33534-3958. The NPI number 1457277386 was assigned on June 25, 2026 and the record was last updated on June 25, 2026.
Marnelli Tan lists a license in the registry: #DN32087 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Marnelli Deborah Geronimo Tan?
The NPI number is 1457277386.
What is the phone number of Marnelli Tan?
The phone number listed for the practice location is (813) 677-3047.
Where is Marnelli Tan located?
13127 Kings Lake Dr Unit 101, Gibsonton, FL 33534-3958.
What is the taxonomy code for Marnelli Tan?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.