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

Wilson Tam

Individual provider Pediatric Dentistry · NPI 1467947572

Wilson Tam is a Pediatric Dentistry in Santee, California. Works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2018
Specialties on file
3

Practice location Address checks out

110 Town Center Pkwy Ste A
Santee, CA 92071-5801
Phone: (619) 396-2477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2015 Birch Rd Ste 103, Chula Vista, CA 91915-2003 — (619) 391-9287

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 103358 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 061312 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1467947572
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 30, 2018
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022
Mailing address7995 Civita Blvd Apt 312, San Diego, CA 92108-5212

Other providers in Santee