Sam Tan, D.M.D

NPI 1194921072 · on the registry since 2007 · sole proprietor

Practice

Address: 100 Prison Rd
Represa, CA 95671
Phone: (916) 985-8610
Organisation at this address: Corrections And Rehabilitation-Headquarters
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 96

Registry record

Primary taxonomy: Dentist
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California