Ethan Thien Ta is a Camp Pendleton, California based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ethan Thien Ta is 111703 for Dentistry in California. His current practice location is 200 Mercy Circle, Camp Pendleton. Patients can reach him at 760-725-5870.
Ethan Thien Ta is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ethan Thien Ta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
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 are as mentioned below.
NPI Number:
1376432302
NPI Enumeration Date:
02 Jul, 2025
NPI Last Update On:
02 Jul, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Thien Ta are as mentioned below.
License Number
Specialization
State
Status
111703
Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4128 Rio Azul Way, Oceanside, California
Zip:
92057-3554
Phone Number:
952-649-1301
Patients can reach Ethan Thien Ta at 200 Mercy Circle, Camp Pendleton, California or can call to book an appointment on 760-725-5870. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.