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Deactivated NPI 1164828836 Deactivated / Inactive NPI Male Practitioner

Dr. Sam C Sun , DDS

Dentist • Monterey Park, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sam Sun has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2014
NPI Deactivation Date September 13, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Sam Sun, DDS was a registered Dentist practicing in Monterey Park, CA. Throughout an active medical career spanning 9 years, Dr. Sun provided care at the practice location at 300 S ATLANTIC BLVD until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

300 S Atlantic Blvd
Ste 102

Monterey Park, CA 917543250

Telephone 6262812299

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Monterey Park, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Monterey Park, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 27381

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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1831260298

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2023

Record deactivated on September 13, 2023

NPI Profile Active November 07, 2014

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2014

Registered at 300 S ATLANTIC BLVD, STE 102, MONTEREY PARK, CA 917543250 (Tel: 6262812299)

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Updated Business Mailing Address November 07, 2014

Registered at 300 S ATLANTIC BLVD, STE 102, MONTEREY PARK, CA 917543250 (Tel: 6262812299)

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Provider Name / Credentials Updated November 07, 2014

Recorded as SAM SUN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2014

Dentist (License #27381 in CA)

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Initial NPI Registration & Enumeration November 07, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164828836
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2014
Last Update: November 07, 2014
Deactivation Date: September 13, 2023

Mailing Address

300 S Atlantic Blvd, Ste 102

Monterey Park, CA 917543250

Phone: 6262812299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.