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WILSON TAM
NPI 1467947572
Dentist - Pediatric Dentistry in Santee, CA

Active since June 30, 2018
110 TOWN CENTER PKWY STE A, SANTEE, CA 92071(619) 396-2477 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2022, Dec 29, 2021, Dec 27, 2020 and 2 more (5 updates tracked since 2018).

About Wilson Tam NPPES

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

WILSON TAM (NPI 1467947572) is an individual pediatric dentistry provider in Santee, California, licensed in California (103358) and active in the NPI registry since June 2018. He maintains a secondary practice location in Chula Vista.

NPPES Registry Identity

NPI1467947572
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameWILSON TAM
Location Address110 TOWN CENTER PKWY STE ASantee, CA 92071-5801
Mailing Address7995 Civita Blvd Apt 312San Diego, CA 92108-5212 · (415) 472-9834
Phone(619) 396-2477
Sole ProprietorNo
Enumeration DateJune 30, 2018
Last NPPES UpdateApril 4, 20225 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
✔ NPI 1467947572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in CA · 103358✔ Licensed in NY · 061312
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
110 TOWN CENTER PKWY STE A, Santee, CA 92071
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Secondary Practice Location 1

Location 12015 Birch Rd Ste 103Chula Vista, CA 91915-2003 · Phone (619) 391-9287

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

BPM DENTAL PARTNERSHIP
Dentist (Pediatric Dentistry)
110 TOWN CENTER PKWY STE A
SANTEE, CA 92071
San Diego County (619) 562-5437
DR. JORDAN N BUZZELL DDS, MPH
Dentist (Pediatric Dentistry)
110 TOWN CENTER PKWY STE A
SANTEE, CA 92071
San Diego County (619) 562-5437

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 Wilson Tam's NPI number?

The NPI number for Wilson Tam is 1467947572. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Where is Wilson Tam located?

Wilson Tam practices at 110 Town Center Pkwy Ste A, Santee, CA 92071. The listed phone number is (619) 396-2477.

What is Wilson Tam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Wilson Tam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Wilson Tam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilson Tam was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.