Dr Phuong Helene Ta, DDS is a
Dentist - General Practice based in Grand Island, Florida. Dr Phuong Helene Ta is licensed to practice in Florida (license number DN14668) and her current practice location is
36800 Winfield Ct, Grand Island, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 255-5538.
NPI number for Dr Phuong Helene Ta is 1811050917 and her current mailing address is 1503 Buenos Aires Blvd Ste 125, Lady Lake, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811050917.
Healthcare Provider's Profile
| Full Name | Dr Phuong Helene Ta |
|---|
| Gender | Female |
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| Speciality | Dentist - General Practice |
|---|
| Location | 36800 Winfield Ct, Grand Island, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811050917
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 05/07/2015
Medical Identifiers
Medical identifiers for Dr Phuong Helene Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811050917 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN14668 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Phuong Helene Ta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Phuong Helene Ta, DDS
1503 Buenos Aires Blvd Ste 125,
Lady Lake, FL 32159-6826
Ph: (352) 753-5838 | Dr Phuong Helene Ta, DDS
36800 Winfield Ct,
Grand Island, FL 32735-9131
Ph: (352) 255-5538 |
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