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An Ta, DMD — NPI 1346751187, Cleveland, TN | NPI Central

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NPI 1346751187

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An Ta, DMD

NPI 1346751187 · General Practice Dentistry · Cleveland, TN

Provider details

NPI number: 1346751187
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: Yes
License: 30.025140 (OH)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 11130 (TN)
Dental Providers
General Practice Dentistry1223G0001XLicense 30.025140 (OH)
Dental Providers
General Practice Dentistry1223G0001XLicense 34378 (TX)
Dental Providers

Practice location

64 Mouse Creek Rd Nw

Cleveland, TN 37312-4800

Phone: (858) 774-5663

Approximate (ZIP-level) locationGet directions

More TN providers

Mailing address

64 Mouse Creek Rd Nw

Cleveland, TN 37312-4800

Additional practice locations (2)

11201 Shaker Blvd Ste 136
Cleveland, OH 44104-3833
Phone: (216) 368-7238
Fax: (216) 721-8171
11201 Shaker Blvd Ste 136
Cleveland, OH 44104-3833
Phone: (216) 368-7238
Fax: (216) 721-8171

Registry dates

Enumerated: 2017-10-19
Last updated: 2023-03-22
Certified: 2023-03-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.