Michelle Ta is a San Rafael, California based Pediatric Dentist who is specialized in
Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Michelle Ta is
DDS104671 for Pediatric Dentistry in California. Her current practice location is
912 Grand Ave Ste 202, San Rafael. Patients can reach her at
408-717-0888.
Michelle Ta provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Michelle 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.
| Name: | Michelle Ta |
| Specialization: | Pediatric Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 912 Grand Ave Ste 202, San Rafael,
California, 94901-3552 |
| Phone: | 408-717-0888 |
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 are as mentioned below.
| NPI Number: | 1124643739 |
| NPI Enumeration Date: | 09 Jun, 2020 |
| NPI Last Update On: | 09 Jun, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle Ta are as mentioned below.
| License Number | Specialization | State | Status | |
| DDS104671 | Pediatric Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 77 Tennant Ave,
San Jose, California |
| Zip: | 95138-1851 |
Patients can reach Michelle Ta at
912 Grand Ave Ste 202, San Rafael, California or can
call to book an appointment on 408-717-0888.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.