Mr. Thanh Tan Luu is a Elk Grove, California based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Mr. Thanh Tan Luu is
46292 for Dentistry in California. His current practice location is
8647 Elk Grove Blvd, Suite A, Elk Grove. Patients can reach him at
916-714-0702.
Mr. Thanh Tan Luu is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Mr. Thanh Tan Luu speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Mr. Thanh Tan Luu |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 8647 Elk Grove Blvd, Suite A, Elk Grove,
California, 95624 |
| Phone: | 916-714-0702 |
| Fax: | 916-714-0704 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639185929 |
| NPI Enumeration Date: | 31 Jul, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Thanh Tan Luu are as mentioned below.
| License Number | Specialization | State | Status | |
| 46292 | Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Thanh Tan Luu such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G92397-01 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 8647 Elk Grove Blvd, Suite A
Elk Grove, California |
| Zip: | 95624 |
| Phone Number: | 916-714-0702 |
| Fax Number: | 916-714-0704 |
Patients can reach Mr. Thanh Tan Luu at
8647 Elk Grove Blvd, Suite A, Elk Grove, California or can
call to book an appointment on 916-714-0702.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.