Christina Ta
Individual provider Active NPI Dentist · Ann Arbor, MI
NPI 1962118166 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1962118166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901602377 (MI)
- Practice address
- 2613 Gross Rd Apt 66
Ann Arbor, MI 48108-1140 - Phone
- (717) 756-5991
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901602377 | MI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901602377 | MI | Yes |
Addresses
Primary practice location
2613 Gross Rd Apt 66
Ann Arbor, MI 48108-1140
Mailing address
2613 Gross Rd Apt 66
Ann Arbor, MI 48108-1140
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.