DR. SAMUEL JAMES TA JR. DMD
NPI 1740702091
Dentist - General Practice in Florence, SC

Active since July 07, 2017
1519 HERITAGE LN, FLORENCE, SC 29505(843) 664-8777 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel James Ta Jr. Dmd NPPES

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

DR. SAMUEL JAMES TA JR. DMD (NPI 1740702091) is an individual general practice provider in Florence, South Carolina, licensed in South Carolina (8973) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1740702091
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SAMUEL JAMES TA JR.Credential: DMD
Location Address1519 HERITAGE LNFlorence, SC 29505-3141
Mailing Address2354 Freedom Blvd Apt C8Florence, SC 29505-6092 · (215) 478-1659
Sole ProprietorYes
Enumeration DateJuly 7, 2017
NPI 1740702091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 8973
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.
1519 HERITAGE LN, Florence, SC 29505

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Dentist
1519 HERITAGE LN
FLORENCE, SC 29505
Dentist (General Practice)
1519 HERITAGE LN
FLORENCE, SC 29505
Dentist
1519 HERITAGE LN
FLORENCE, SC 29505
Dentist
1519 HERITAGE LN
FLORENCE, SC 29505
Dentist (General Practice)
1519 HERITAGE LN
FLORENCE, SC 29505
Dentist (General Practice)
1519 HERITAGE LN
FLORENCE, SC 29505

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 Samuel Ta's NPI number?

The NPI number for Samuel Ta is 1740702091. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Samuel Ta located?

Samuel Ta practices at 1519 Heritage Ln, Florence, SC 29505. The listed phone number is (843) 664-8777.

What is Samuel 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 Samuel Ta was last updated on July 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.