IndividualActive
Mary Ta, DMD
NPI 1639730245 · General Practice Dentistry · Fpo
Mary Ta, DMD is a General Practice Dentistry provider in Fpo (NPI 1639730245).
Provider details
- NPI number
- 1639730245
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11341238-9922 (UT)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Psc 475 Box 1
Fpo, 96350-1200
Phone: (315) 243-8932
Approximate (ZIP-level) locationGet directions
Mailing address
5839 S Meadowcrest Dr
Salt Lake City, UT 84107-6512
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2023-08-07
- Certified
- 2023-08-07
Frequently asked questions
- What is Mary Ta's NPI number?
- Mary Ta's National Provider Identifier (NPI) is 1639730245, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Ta's specialty?
- Mary Ta is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Mary Ta located?
- Mary Ta's practice location on file with NPPES is Psc 475 Box 1, Fpo, 96350-1200.
- What is Mary Ta's phone number?
- The practice phone number listed in the NPPES registry for Mary Ta is (315) 243-8932.
- Is Mary Ta's NPI active?
- Yes — Mary Ta's NPI (1639730245) is active in the NPPES registry as of the last update on 2023-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.