Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Samuel P Hutagalung Tam, DMD

Individual provider Dentist · NPI 1104150168

Dr. Samuel P Hutagalung Tam, DMD is a Dentist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2009
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2020 Walnut St Apt 6C
Philadelphia, PA 19103-5600
Phone: (267) 467-0092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS038083 (PA)

Record details

NPI number1104150168
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 23, 2009
Last updated in NPPESSeptember 23, 2009

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