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DR. MARY LINH TA DMD
NPI 1639730245
Dentist - General Practice in Fpo, AP

Active since June 25, 2019

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Linh Ta Dmd NPPES

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

DR. MARY LINH TA DMD (NPI 1639730245) is an individual general practice provider in Fpo, AP, licensed in Utah (11341238-9922) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1639730245
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY LINH TACredential: DMD
Location AddressPSC 475 BOX 1Fpo, AP 96350-1200
Mailing Address5839 S Meadowcrest DrSalt Lake City, UT 84107-6512 · (801) 979-7116
Phone(315) 243-8932
Sole ProprietorYes
Enumeration DateJune 25, 2019
Last NPPES UpdateAugust 7, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1639730245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 11341238-9922
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.
Also ListedDentistTaxonomy 122300000X · License 11341238-9922 (UT)

Other Providers at the Same Location NPPES 20

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

DR. ANTHONY JAMES MARIN D.D.S.
Dentist (Endodontics)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5069
JASON PAUL JENSEN OTR/L, CHT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 243-5348
ANDREA L HAYES MSH, RD/RN
Dietitian, Registered
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8658
MR. SAMUEL FOSTER OT
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(315) 253-4562
KIRSTEN LEANNE SANDOVAL
Occupational Therapist
PSC 475 BOX 1
FPO, AP 96350
(818) 277-9111
DR. MIRIAM BEHPOUR DMD
Dentist (General Practice)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-7144
PHILIP DEAN PETERSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
PSC 475 BOX 1
FPO, AP 96350
(315) 243-8560
JON STOCKTON MD, MPHIL
Anesthesiology
PSC 475 BOX 1
FPO, AP 96350
(303) 898-0208

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 Mary Ta's NPI number?

The NPI number for Mary Ta is 1639730245. It was assigned to this individual provider in the NPPES registry on June 25, 2019.

Where is Mary Ta located?

Mary Ta practices at Psc 475 Box 1, Fpo, AP 96350. The listed phone number is (315) 243-8932.

What is Mary Ta's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Ta was last updated on August 7, 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.