Doctor profile · Federal record
Dr. Thomas Sudibjo, DMD
General Practice Dentistry · Tustin, CA
- NPI 1891834099
- 19 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1096 Irvine Blvd
Tustin, CA 927803527
(714) 838-6777
fax (714) 838-8277
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #45983
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891834099. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$65
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kuraray America Inc. | 1 | $44.47 | |
| USA ANGELALIGN TECHNOLOGY CORP | 1 | $20.27 |
By nature of payment
Frequently asked questions
What is Dr. Thomas Sudibjo's medical specialty?
Dr. Thomas Sudibjo practices General Practice Dentistry in Tustin, CA.
Where does Dr. Thomas Sudibjo practice?
Dr. Thomas Sudibjo practices at 1096 Irvine Blvd, Tustin, CA 927803527. Office phone: 7148386777.
What is Dr. Thomas Sudibjo's NPI?
Dr. Thomas Sudibjo's National Provider Identifier (NPI) is 1891834099, issued by NPPES.