Ocoee Dental Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OCOEE DENTAL CARE PLLC

Practice address

64 Mouse Creek Rd NW
Cleveland, TN 37312-4800

Phone

(423) 790-1311

NPI assigned

Dec 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. An Ta, DMDNPI 1346751187

Title

Manager

Phone

(858) 774-5663

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• An Ta, DMD

  • General Practice Dentistry
  • Cleveland, TN
  • NPI 1346751187
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1255043618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 MOUSE CREEK RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124800",
            "telephone_number": "423-790-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 MOUSE CREEK RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124800",
            "telephone_number": "423-790-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCOEE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-16",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "AN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "858-774-5663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Eric O'Neal
• Oasis Gynecology and Obstetrics PLLC
• Ocoee Behavioral Health LLPC
• Ocoee Chiropractic PLLC
• Ocoee Counseling Services, PLLC
• Ocoee Eye Center, PLLC
• Ocoee Hospital Corporation
• Ocoee Hospital Corporation
• Ocoee Medical LLC
• Ocoee OB/GYN, PC

• Dental Clinic/Center in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.