Tracy Repancol Sunga, DDS
Individual provider Active NPI Dentist · Dededo, GU
NPI 1679976039 · NPPES record last updated May 19, 2025
Key facts
- NPI
- 1679976039
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- D1022 (GU)
- Practice address
- 674 Harmon Loop Rd Ste 208
Dededo, GU 96929-6535 - Phone
- (671) 988-3235
- NPI assigned
- Sep 30, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1022 | GU | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Tracy Repancol Sunga DDS LLC | Current |
Accepting new patients | |
| C V Alegria DDS Inc | Past | Accepting new patients |
Locations
674 Harmon Loop Rd
Ste 208
Dededo, GU 96929
Phone (671) 988-3235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D1022 | GU | Yes |
Addresses
Primary practice location
674 Harmon Loop Rd Ste 208
Dededo, GU 96929-6535
Mailing address
674 Harmon Loop Rd Ste 208
Dededo, GU 96929-6535
Phone (671) 633-8243
Other providers in Dededo, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.