DR. AN TA (NPI# 1346751187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346751187 |
| Entity Type | Individual |
| Full Name | DR. AN TA |
| Credential | DMD |
| Practice Address |
920 N Main St Taylor TX 76574 |
| Mailing Address |
920 N Main St Taylor TX 76574-3230 |
| Practice Telephone | 5123525577 |
| Mailing Telephone | 5123525577 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2019-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
34378 | TX | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
30.025140 | OH | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11201 Shaker Blvd Ste 136, Cleveland, OH 441043833 | 2163687238 | 2167218171 |
| Street Address |
920 N MAIN ST |
| City | TAYLOR |
| State | TX |
| Zip Code | 76574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867926 | 920 North Main Street Professional, Pllc | Dentist | 920 N Main St, Taylor, TX 76574-3230 | 2020-06-30 |
| 1598909640 | Taylor Dental Associates, Inc | Dentist | 920 N Main St, Taylor, TX 76574-3230 | 2009-04-20 |
| 1194943571 | William Smith Cabaniss | Dentist | 920 N Main St, Taylor, TX 76574-3230 | 2007-04-23 |
| 1871616235 | Mark Edwin Falke | Dentist | 920 N Main St, Taylor, TX 76574-3230 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902388242 | Marisa Rickerson | Speech-Language Pathologist | Spjst, 1810 Old Granger Rd, Tayloe, TX 76574 | 2018-09-04 |
| 1841786134 | Deanna Cole | Registered Nurse | 2503 Donna Drive, Taylor, TX 76574 | 2018-07-10 |
| 1417313750 | Jesse James Maldonado | Pharmacist | 100 Carlos G Parker Blvd, Taylor, TX 76574 | 2015-12-31 |
| 1720443161 | Ace Dental03 PC | Dentist | 100 Carlos G. Parker Blvd, 110, Taylor, TX 76574 | 2015-12-30 |
| 1770812653 | Jina Morris | Pharmacist | 1610 N. Main St., Taylor, TX 76574 | 2009-12-23 |
| 1306066618 | Dental Professionals of Taylor, P.l.l.c. | Clinic/Center | 1611 Old Granger Road, Suite A, Taylor, TX 76574 | 2007-04-27 |
| 1134258197 | Vernon Robert Bender | Dentist | 1611 Old Granger Rd, Taylor, TX 76574 | 2007-03-05 |
| 1528100898 | Taylor Care Center | Nursing Facility/Intermediate Care Facility | 212 East Lake Dr., Taylor, TX 76574 | 2007-02-13 |
| 1376613679 | Paul Anthony Burow | Chiropractor | 612 North Main Street, Taylor, TX 76574 | 2006-11-08 |
| 1306948765 | Ronald P Werner | Dentist | 501 Mallard Lane, Taylor, TX 76574 | 2006-09-05 |
| Find all providers in zip 76574 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136667 | D2 Dental of Michigan, P.C. | Dentist | 9115 Telegraph Rd, Taylor, MI 48180-2365 | 2018-12-29 |
| 1720443161 | Ace Dental03 PC | Dentist | 100 Carlos G. Parker Blvd, 110, Taylor, TX 76574 | 2015-12-30 |
| 1376820308 | Ted & Associate, PC | Dentist | 3705 N Main St # 200, Taylor, TX 76574-4981 | 2011-11-04 |
| 1821202649 | Mark Levin | Dentist | 8985 Telegraph Rd, Taylor, MI 48180-2366 | 2007-05-10 |
| 1710002712 | Steven Michael Polisuk | Dentist | 24459 Goddard Rd, Taylor, MI 48180-3933 | 2007-03-20 |
| 1528190204 | Jerry A Aronoff | Dentist | 22350 Wick Rd, Taylor, MI 48180-3607 | 2007-03-09 |
| 1497803522 | Arthur Sheldon Rocklin | Dentist | 21925 Van Born Rd, Taylor, MI 48180-1335 | 2007-01-08 |
| 1972683811 | Diane Mary Mclellan | Dentist | 20211 Ecorse Road, Taylor, MI 48180 | 2006-10-16 |
| 1861584054 | James C. Stewart | Dentist | 25721 Goddard Rd, Taylor, MI 48180-3974 | 2006-09-28 |
| 1508967829 | David Joel Berris | Dentist | 9310 Telegraph Rd, Taylor, MI 48180-3362 | 2006-09-26 |
| Find all providers in TAYLOR | ||||
Please comment or provide details below to improve the information on DR. AN TA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.