Individual provider · Type 1 NPI
Phong Cam Ta, DDS
Dental Anesthesiology · New York, NY
Practice location
410 W 53rd St, Apt 126
New York, NY 10019-5622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | P65701 (NY) |
| Dental Anesthesiology Primary | 1223D0004X | 054360 (NY) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Another provider at this address
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- Brandon Michael Fitzgerald, DMDDental Anesthesiology New York, NY NPI 1801139662
- Emanuel Gluckman, DDSDental Anesthesiology New York, NY NPI 1922500818
About NPI 1861646747
Phong Cam Ta, DDS's National Provider Identifier is 1861646747, issued on Nov 5, 2008. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in New York, NY. The record was last updated on Jun 16, 2016.