Mikhai C. Ta, Dds, Ps is a Dental Clinic in Centralia, Washington. It is located at 1211 S Gold St, Centralia, WA and its contact number is 360-736-5040. The authorized person for Mikhai C. Ta, Dds, Ps is Dr. Mikhai Cong Ta
who is Owner of the clinic and their contact number is 909-936-1803. Mikhai C. Ta, Dds, Ps Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Mikhai C. Ta, Dds, Ps Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mikhai C. Ta, Dds, Ps
Specialization:
Dentistry
Clinic Address:
1211 S Gold St, Centralia, Washington, 98531-3715
Phone:
360-736-5040
Fax:
360-736-1979
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Mikhai Cong Ta
Position:
Owner
Contact Number:
909-936-1803
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mikhai C. Ta, Dds, Ps clinic are as mentioned below.
NPI Number:
1003117946
NPI Enumeration Date:
09 Nov, 2010
NPI Last Update On:
24 Jun, 2011
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mikhai C. Ta, Dds, Ps are as mentioned below.
Specialization
License Number
State
Status
Dentist
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2000984
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mikhai C. Ta, Dds, Ps Po Box 676, Centralia, Washington
Zip:
98531-0676
Phone Number:
360-736-5040
Fax Number:
360-736-1979
Patients can reach Mikhai C. Ta, Dds, Ps at 1211 S Gold St, Centralia, Washington or can call to book an appointment on 360-736-5040. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.