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DR. SAMUEL P HUTAGALUNG TAM DMD
NPI 1104150168
Dentist in Philadelphia, PA

Active since September 23, 2009
2020 WALNUT ST APT 6C, PHILADELPHIA, PA 19103(267) 467-0092 Get Directions Write a Review

NPPES record last updated: September 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samuel P Hutagalung Tam Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL P HUTAGALUNG TAM DMD (NPI 1104150168) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS038083) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1104150168
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAMUEL P HUTAGALUNG TAMCredential: DMD
Location Address2020 WALNUT ST APT 6CPhiladelphia, PA 19103-5600
Mailing Address2020 Walnut St Apt 6cPhiladelphia, PA 19103-5600 · (267) 467-0092
Phone(267) 467-0092
Sole ProprietorYes
Enumeration DateSeptember 23, 2009
✔ NPI 1104150168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS038083
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2020 WALNUT ST APT 6C, Philadelphia, PA 19103
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Hutagalung Tam's NPI number?

The NPI number for Samuel Hutagalung Tam is 1104150168. It was assigned to this individual provider in the NPPES registry on September 23, 2009.

Where is Samuel Hutagalung Tam located?

Samuel Hutagalung Tam practices at 2020 Walnut St Apt 6C, Philadelphia, PA 19103. The listed phone number is (267) 467-0092.

What is Samuel Hutagalung Tam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Samuel Hutagalung Tam was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.