Individual provider · Type 1 NPI

Sam Tun Tan, DMD

Dentist · Represa, CA

NPI number 1194921072 Active

Practice location

100 Prison Rd
Represa, CA 95671-3000

Call (916) 985-8610 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X47570 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1194921072

Sam Tun Tan, DMD's National Provider Identifier is 1194921072, issued on Jun 26, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Represa, CA. The record was last updated on Jun 15, 2026.