Sam Tun Tan is a Dentist in San Leandro, California. Sam Tun Tan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sam Tun Tan is 1194921072. The last update date is 2007-07-08.
Sam Tun Tan's current location address is 425 Estudillo Ave, San Leandro, California. You can contact this provider via phone number 5104831543 and fax number 5104833180. The mailing address for Sam Tun Tan is 425 Estudillo Ave, San Leandro, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Tun Tan |
|---|---|
| Address | 425 Estudillo Ave, San Leandro, California |
| Phone Number | 5104831543 |
| Fax Number | 5104833180 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1194921072 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 425 Estudillo Ave |
|---|---|
| City | San Leandro |
| State | California (CA) |
| Post Code | 945774961 |
| Phone Number | 5104831543 |
| Fax Number | 5104833180 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 47570 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Sam Tun Tan?
The Sam Tun Tan has been issued the NPI (National Provider Identifier) 1194921072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Sam Tun Tan is physically located?
The Sam Tun Tan is situated at the following address: 425 Estudillo Ave, San Leandro, CA 945774961.
What is Sam Tun Tan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sam Tun Tan is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Sam Tun Tan receive the assignment of its 1194921072 from the Centers for Medicare & Medicaid Services?
The Sam Tun Tan was issued its 1194921072 by the Centers for Medicare & Medicaid Services on 2007-06-26.
When was the information regarding Sam Tun Tan most recently updated?
The details pertaining to the Sam Tun Tan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.