Brian Le Ta, DMD

Dentist · Kent, WA

Individual Active NPI

NPI number 1750948790

Practice location

510 Washington Ave N
Kent, WA 98032-4453
Phone
(919) 740-7012

Open in Google Maps

NPI record

NPI
1750948790
Entity type
Individual (Type 1)
Enumeration date
May 24, 2019
Last updated
August 6, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DE60980113 WA

Mailing address

9128 Palm Bay Cir
Raleigh, NC 27617-7776
Phone
(919) 740-7012

About Dr. Ta

Brian Le Ta, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 510 Washington Ave N, Kent, WA 98032-4453. The NPI number 1750948790 was assigned on May 24, 2019 and the record was last updated on August 6, 2019.

Dr. Ta lists a license in the registry: #DE60980113 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Le Ta, DMD?

The NPI number is 1750948790.

What is the phone number of Dr. Ta?

The phone number listed for the practice location is (919) 740-7012.

Where is Dr. Ta located?

510 Washington Ave N, Kent, WA 98032-4453.

What is the taxonomy code for Dr. Ta?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Kent

All Dentist providers in Kent, WA →