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

Dr. Thomas Sudibjo, DMD

Individual provider General Practice Dentistry · NPI 1891834099

Dr. Thomas Sudibjo, DMD is a General Practice Dentistry in Tustin, California. Licensed in California. Registered with an NPI since 2007.

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.

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Practice location Address checks out

1096 Irvine Blvd
Tustin, CA 92780-3527
Phone: (714) 838-6777
Fax: (714) 838-8277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 45983 (CA)

Record details

NPI number1891834099
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 5, 2007
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026
Mailing address1096 Irvine Blvd, Tustin, CA 92780-3527

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