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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.