Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Takako Tanaka, DDS

Individual provider Oral & Maxillofacial Surgery (D.M.D.) · NPI 1649506577

Takako Tanaka, DDS is a Maxillofacial Surgery in Philadelphia, Pennsylvania. Graduated from University of Detroit Mercy School of Dentistry in 2009, 17 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
University of Detroit Mercy School of Dentistry
Licensed in
PA
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3400 Civic Center Blvd 4th Fl South Pavilion
Philadelphia, PA 19104-5127
Phone: (215) 662-3580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence DS0404707 (PA)

Record details

NPI number1649506577
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 28, 2009
Last updated in NPPESApril 4, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated 2009 (17 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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