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

Miss. Maristela Tan, DMD

Individual provider Dentist · NPI 1164569646

Miss. Maristela Tan, DMD is a Dentist in Fairfield, 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

2440 N Texas St
Fairfield, CA 94533-1602
Phone: (707) 422-4600
Fax: (707) 422-0396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 50829 (CA)

Record details

NPI number1164569646
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJuly 8, 2007

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