IndividualActive
Wilson Tam
NPI 1467947572 · Pediatric Dentistry · Santee, CA
Wilson Tam is a Pediatric Dentistry provider in Santee, CA (NPI 1467947572).
Provider details
- NPI number
- 1467947572
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 061312 (NY)
Specialties & taxonomies
Dental Providers
Dental Providers
Student, Health Care
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 Town Center Pkwy Ste a
Santee, CA 92071-5801
Phone: (619) 396-2477
Street-level locationGet directions
Mailing address
7995 Civita Blvd Apt 312
San Diego, CA 92108-5212
Additional practice locations (1)
- 2015 Birch Rd Ste 103Chula Vista, CA 91915-2003Phone: (619) 391-9287
Registry dates
- Enumerated
- 2018-06-30
- Last updated
- 2022-04-04
- Certified
- 2022-04-04
Frequently asked questions
- What is Wilson Tam's NPI number?
- Wilson Tam's National Provider Identifier (NPI) is 1467947572, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wilson Tam's specialty?
- Wilson Tam is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Wilson Tam located?
- Wilson Tam's practice location on file with NPPES is 110 Town Center Pkwy Ste a, Santee, CA 92071-5801.
- What is Wilson Tam's phone number?
- The practice phone number listed in the NPPES registry for Wilson Tam is (619) 396-2477.
- Is Wilson Tam's NPI active?
- Yes — Wilson Tam's NPI (1467947572) is active in the NPPES registry as of the last update on 2022-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.