Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN THIEN TA, DMD
ActiveETHAN THIEN TA, DMD is a Dentist healthcare provider located in CAMP PENDLETON, California. NPI 1376432302 is currently active in the NPPES registry. Verify at CMS.
Dentist · CAMP PENDLETON, CA
Registration Details
- NPI Number
- 1376432302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2025 (1.1152792467914 yrs)
- Last Updated
- Jul 2, 2025
- License
-
111703 (CA)
Practice Information
- Address
-
200 MERCY CIRCLECAMP PENDLETON, CA, 92055Browse CA providers · Browse ZIP 92055
- Phone
- 7607255870
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CAMP PENDLETON, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARTA WALCHESSEN TANAKA | D.D.S. | 1336131804 |
| DR. RICHARD BEX | D.M.D. | 1356334163 |
| DR. BRENDAN WILLIAM TULLY | D.D.S. | 1215920061 |
| DR. NANCY HALL OSBORNE | DDS | 1821087446 |
| DR. AARON J NOORDMANS | DDS | 1821077348 |
| DR. RICHARD EUGENE SWAJA | DMD | 1568425221 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.