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DR. AN TA DMD
NPI 1346751187
Dentist - General Practice in Cleveland, TN

Active since October 19, 2017
64 MOUSE CREEK RD NW, CLEVELAND, TN 37312(858) 774-5663 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2023, Dec 16, 2022, Feb 26, 2019 and 1 more (4 updates tracked since 2017).

About Dr. An Ta Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AN TA DMD (NPI 1346751187) is an individual general practice provider in Cleveland, Tennessee, licensed in Tennessee (11130) and active in the NPI registry since October 2017. He maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1346751187
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. AN TACredential: DMD
Location Address64 MOUSE CREEK RD NWCleveland, TN 37312-4800
Mailing Address64 Mouse Creek Rd NwCleveland, TN 37312-4800 · (234) 790-1311
Phone(858) 774-5663
Sole ProprietorYes
Enumeration DateOctober 19, 2017
Last NPPES UpdateMarch 22, 20234 updates tracked since enumeration
NPPES CertifiedMarch 22, 2023
✔ NPI 1346751187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TN · 11130✔ Licensed in OH · 30.025140✔ Licensed in TX · 34378
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
64 MOUSE CREEK RD NW, Cleveland, TN 37312
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Secondary Practice Location 1

Location 111201 Shaker Blvd Ste 136Cleveland, OH 44104-3833 · Phone (216) 368-7238 · Fax (216) 721-8171

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCOEE DENTAL CARE PLLC
Clinic/Center (Dental)
64 MOUSE CREEK RD NW
CLEVELAND, TN 37312
Bradley County (423) 790-1311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is An Ta's NPI number?

The NPI number for An Ta is 1346751187. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is An Ta located?

An Ta practices at 64 Mouse Creek Rd NW, Cleveland, TN 37312. The listed phone number is (858) 774-5663.

What is An Ta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does An Ta accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 7 other insurers list An Ta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for An Ta was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.