Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THOMAS SUDIBJO DMD
NPI 1891834099
Dentist - General Practice in Tustin, CA

Q: What is Thomas Sudibjo's NPI number?

The NPI number for Thomas Sudibjo is 1891834099. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Thomas Sudibjo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sudibjo was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 05, 2007

1096 IRVINE BLVD, TUSTIN, CA 92780(714) 838-6777(714) 838-8277 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Thomas Sudibjo Dmd NPPES

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

DR. THOMAS SUDIBJO DMD (NPI 1891834099) is an individual general practice provider in Tustin, California, licensed in California (45983) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1891834099

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. THOMAS SUDIBJOCredential: DMD

Location Address1096 IRVINE BLVDTustin, CA 92780-3527

Mailing Address1096 Irvine BlvdTustin, CA 92780-3527 · (714) 838-6777 · Fax (714) 838-8277

Phone(714) 838-6777

Fax(714) 838-8277

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateAugust 7, 2026

NPPES CertifiedAugust 7, 2026

✔ NPI 1891834099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 45983

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1096 IRVINE BLVD, Tustin, CA 92780

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Accepted Insurance

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

JU Y LEE DENTAL CORPORATION

Dentist

1096 IRVINE BLVD
TUSTIN, CA 92780

Orange County (714) 838-2875

LINDA PHI, DDS, INC.

Dentist (Orthodontics and Dentofacial Orthopedics)

1096 IRVINE BLVD
TUSTIN, CA 92780

Orange County (714) 880-7448

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 Thomas Sudibjo's NPI number?

The NPI number for Thomas Sudibjo is 1891834099. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Thomas Sudibjo located?

Thomas Sudibjo practices at 1096 Irvine Blvd, Tustin, CA 92780. The listed phone number is (714) 838-6777.

What is Thomas Sudibjo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Thomas Sudibjo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Thomas Sudibjo 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 Thomas Sudibjo was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.