Marilyn Blackmun in La Canada - Dental Hygienist
Marilyn Blackmun - NPI 1790909349
Marilyn Blackmun is a Dental Hygienist in La Canada, California. Marilyn Blackmun practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Marilyn Blackmun is 1790909349. The last update date is 2007-07-08.
Marilyn Blackmun's current location address is 2209 San Gorgonio Rd, La Canada, California. You can contact this provider via phone number 8189571589 and fax number 8189571589. The mailing address for Marilyn Blackmun is 2209 San Gorgonio Rd, La Canada, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marilyn Blackmun |
|---|---|
| Address | 2209 San Gorgonio Rd, La Canada, California |
| Phone Number | 8189571589 |
| Fax Number | 8189571589 |
| Sole Proprietor | N |
| Credentials | PDHAP |
NPI Number Detail
| NPI Number | 1790909349 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2209 San Gorgonio Rd |
|---|---|
| City | La Canada |
| State | California (CA) |
| Post Code | 910111352 |
| Phone Number | 8189571589 |
| Fax Number | 8189571589 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | HAP11 |
|
Definition: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28993701 | CA | -- | |
| 133068 | CA | DELTA DENTAL INS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Marilyn Blackmun?
The Marilyn Blackmun has been issued the NPI (National Provider Identifier) 1790909349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Marilyn Blackmun's physical address?
The Marilyn Blackmun is physically located at 2209 San Gorgonio Rd, in the city of La Canada, CA, with the postal code 910111352.
What is Marilyn Blackmun's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marilyn Blackmun is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
When was the Marilyn Blackmun's 1790909349 issued?
The Marilyn Blackmun's 1790909349 was issued on 2007-04-13.
When was the information related to Marilyn Blackmun most recently updated or refreshed?
The details pertaining to the Marilyn Blackmun, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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