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DR. SAM TUN TAN D.M.D.
NPI 1194921072
Dentist in Represa, CA

Active since June 26, 2007
100 PRISON RD, REPRESA, CA 95671(916) 985-8610 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Sam Tun Tan D.m.d. NPPES

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

DR. SAM TUN TAN D.M.D. (NPI 1194921072) is an individual dentist in Represa, California, licensed in California (47570) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1194921072
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. SAM TUN TANCredential: D.M.D.
Location Address100 PRISON RDRepresa, CA 95671-3000
Mailing Address100 Prison RdRepresa, CA 95671-3000 · (916) 985-8610
Phone(916) 985-8610
Sole ProprietorYes
Enumeration DateJune 26, 2007
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1194921072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 47570
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.
100 PRISON RD, Represa, CA 95671
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENEVA MARIE PALMER PHD
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. CATHERINE JANE PRUDHOMME PH.D.
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
MAI ONG THAO
Student in an Organized Health Care Education/Training Program
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
SUSANNA FARINA PHD
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. JAMES CHARLES GALLWEY PHARM.D.
Pharmacist
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
SHEA ALVAREZ PH.D.
Student in an Organized Health Care Education/Training Program
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
DR. MELINDA SUSAN DICIRO PSY.D.
Psychologist (Clinical)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (916) 985-8610
MARSHA EVANS
Psychologist (Forensic)
100 PRISON RD
REPRESA, CA 95671
Sacramento County (860) 655-3753

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 Sam Tan's NPI number?

The NPI number for Sam Tan is 1194921072. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Where is Sam Tan located?

Sam Tan practices at 100 Prison Rd, Represa, CA 95671. The listed phone number is (916) 985-8610.

What is Sam Tan'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 Sam Tan was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.