Healthcare Provider Details

I. General information

NPI: 1689504391
Provider Name (Legal Business Name): TALIA KALTER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 SUPERIOR ST
SANDUSKY OH
44870-1849
US

IV. Provider business mailing address

420 SUPERIOR ST
SANDUSKY OH
44870-1849
US

V. Phone/Fax

Practice location:
  • Phone: 419-626-1218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028493
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: