Healthcare Provider Details

I. General information

NPI: 1417814815
Provider Name (Legal Business Name): NIMRAT TUNG DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2447 MISSION AVE STE A
CARMICHAEL CA
95608-4994
US

IV. Provider business mailing address

7281 ARROYO WILLOW DR
SACRAMENTO CA
95829-8703
US

V. Phone/Fax

Practice location:
  • Phone: 916-483-2484
  • Fax:
Mailing address:
  • Phone: 209-281-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NIMRAT TUNG
Title or Position: CEO
Credential: DDS
Phone: 209-281-3060