Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sam Tun Tan, DMD

Individual provider Dentist · NPI 1194921072

Dr. Sam Tun Tan, DMD is a Dentist in Represa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

100 Prison Rd
Represa, CA 95671-3000
Phone: (916) 985-8610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 47570 (CA)

Record details

NPI number1194921072
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 26, 2007
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address100 Prison Rd, Represa, CA 95671-3000

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