Kenneth Aldric Tang is a Philadelphia, Pennsylvania based Periodontics who is specialized in
Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kenneth Aldric Tang is
DS043815 for Periodontology in Pennsylvania. His current practice location is
1901 S Broad St, Philadelphia. Patients can reach him at
215-383-1422.
Kenneth Aldric Tang is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Kenneth Aldric Tang speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kenneth Aldric Tang |
| Specialization: | Periodontics |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1901 S Broad St, Philadelphia,
Pennsylvania, 19148-2216 |
| Phone: | 215-383-1422 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639935646 |
| NPI Enumeration Date: | 27 Feb, 2024 |
| NPI Last Update On: | 20 Feb, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Aldric Tang are as mentioned below.
| License Number | Specialization | State | Status | |
| DS043815 | Periodontology | Pennsylvania | Primary | |
| 401419351 | Periodontology | Virginia | Secondary | |
| 18510 | Periodontology | Maryland | Secondary | |
| DEN2001559 | Periodontology | District Of Columbia | Secondary | |
| 22DI03124600 | Periodontology | New Jersey | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3936 Lincolnshire St,
Annandale, Virginia |
| Zip: | 22003-2520 |
| Phone Number: | 571-533-8028 |
Patients can reach Kenneth Aldric Tang at
1901 S Broad St, Philadelphia, Pennsylvania or can
call to book an appointment on 215-383-1422.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 March, 2026.