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

Hansel Poerwanto, DDS

Individual provider Dentist · NPI 1629521703

Hansel Poerwanto, DDS is a Dentist in Sacramento, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone: (916) 569-8484
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 100447 (CA)

Record details

NPI number1629521703
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 22, 2023

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