Martin A Tahara, DMD, MD in Stillwater, MN - Medicare Dentist Provider

Martin A Tahara, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Stillwater, Minnesota. His current practice location is 1701 Curve Crest Blvd W, Suite 108, Stillwater, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 439-8030.

Martin A Tahara is licensed to practice in Minnesota (license number D11409) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053381061.

Contact Information

	Martin A Tahara, DMD, MD
	1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044
	(651) 439-8030
	(651) 351-0821

Healthcare Provider's Profile

Full Name	Martin A Tahara
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1701 Curve Crest Blvd W, Stillwater, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053381061
Provider Enumeration Date: 01/23/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 6406891886
Enrollment ID: I20160113002992

Medical Identifiers

Medical identifiers for Martin A Tahara such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053381061	NPI	-	NPPES
33761200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D11409 (Minnesota)	Primary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	5219-015 (Wisconsin)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Martin A Tahara is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Martin A Tahara, DMD, MD 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 Ph: (651) 439-8030	Martin A Tahara, DMD, MD 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082-6044 Ph: (651) 439-8030

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Dentist in Stillwater, MN

Dr. Sarah Louise Bogel, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1395 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-430-0036
Timothy Huska, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13961 60th St N, Stillwater, MN 55082 Phone: 651-439-2600
Richard L Schneider, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 126 Main St N, Stillwater, MN 55082 Phone: 651-439-3637 Fax: 651-439-4655
Steven D Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1701 Curve Crest Blvd W, Suite 108, Stillwater, MN 55082 Phone: 651-439-8030 Fax: 651-351-0821
Dr. Polly Jo Courtney Logan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13961 60th St, St Croix Valley Dental, Stillwater, MN 55082 Phone: 651-439-2600 Fax: 651-439-2211
Carson Cannon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2850 Curve Crest Blvd W Ste 200, Stillwater, MN 55082 Phone: 651-439-9400

Martin A Tahara, DMD, MD - Medicare Dentist in Stillwater, MN