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Active NPI 1598642209 Individual Practitioner Female Practitioner

Dr. Dung Ta , DDS

Dentist - General Practice • San Juan, TX

Professional Overview & Biography Verified Profile Summary

Dr. Dung Ta, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Juan, TX. Practice services are available at 108 E FM 495 STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 E Fm 495 Ste B

San Juan, TX 785893725

Telephone 9568002233
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Juan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
6 Specialists

Practicing in San Juan, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 41871

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1417688227

Doctor of Dental Surgery

Chau Nguyen

Dentist - General Practice

NPI 1720822521

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address September 23, 2025

Registered at 108 E FM 495 STE B, SAN JUAN, TX 785893725 (Tel: 9568002233)

NPI Profile Active August 18, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2025

Registered at 108 E FM 495 STE B, SAN JUAN, TX 785893725 (Tel: 9568002233)

📍
Updated Business Mailing Address August 18, 2025

Registered at 5105 N HIAWATHA DR APT 1, PHARR, TX 785772844 (Tel: 3126475684)

👤
Provider Name / Credentials Updated August 18, 2025

Recorded as DUNG TA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2025

Dentist (License #41871 in TX)

🟢
Initial NPI Registration & Enumeration August 18, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598642209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2025
Last Update: September 23, 2025
Sole Proprietor: Yes

Mailing Address

108 E Fm 495 Ste B

San Juan, TX 785893725

Phone: 9568002233

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.