Dr Thomas Sudibjo, DMD - Dentist in Tustin, CA

Dr Thomas Sudibjo, DMD is a Dentist - General Practice based in Tustin, California. Dr Thomas Sudibjo is licensed to practice in California (license number 45983) and his current practice location is 1096 Irvine Blvd, Tustin, California. He can be reached at his office (for appointments etc.) via phone at (714) 838-6777.

NPI number for Dr Thomas Sudibjo is 1891834099 and his current mailing address is 1096 Irvine Blvd, Tustin, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891834099.

Contact Information

Dr Thomas Sudibjo, DMD
1096 Irvine Blvd,
Tustin, CA 92780-3527
(714) 838-6777
(714) 838-8277

Map and Direction




Healthcare Provider's Profile

Full NameDr Thomas Sudibjo
GenderMale
SpecialityDentist - General Practice
Location1096 Irvine Blvd, Tustin, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891834099
  • Provider Enumeration Date: 02/05/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Thomas Sudibjo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891834099NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 45983 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Sudibjo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Thomas Sudibjo, DMD
1096 Irvine Blvd,
Tustin, CA 92780-3527

Ph: (714) 838-6777
Dr Thomas Sudibjo, DMD
1096 Irvine Blvd,
Tustin, CA 92780-3527

Ph: (714) 838-6777

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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