Marquita Corliss in Springfield - Dental Hygienist
Marquita Corliss - NPI 1548368160
Marquita Corliss is a Dental Hygienist in Springfield, Oregon. Marquita Corliss practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Marquita Corliss is 1548368160. The last update date is 2011-04-27.
Marquita Corliss's current location address is 2073 Olympic Street, Springfield, Oregon. You can contact this provider via phone number 5416823550 and fax number 5416823551. The mailing address for Marquita Corliss is 2073 Olympic Street, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marquita Corliss |
|---|---|
| Address | 2073 Olympic Street, Springfield, Oregon |
| Phone Number | 5416823550 |
| Fax Number | 5416823551 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1548368160 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2011-04-27 |
Provider Mailing Address Detail
| Address | 2073 Olympic Street |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 974773413 |
| Phone Number | 5416823550 |
| Fax Number | 5416823551 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | H1773 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 181569 | OR | -- | |
| 227622 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marquita Corliss by the Centers for Medicare & Medicaid Services?
The Marquita Corliss has been assigned the NPI (National Provider Identifier) 1548368160. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Marquita Corliss is physically located?
The Marquita Corliss is physically situated at the following address: 2073 Olympic Street, Springfield, OR, 974773413.
What is Marquita Corliss'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 Marquita Corliss is Dental Hygienist, and the taxonomy classification code that categorizes this area of expertise is 124Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548368160 to Marquita Corliss?
The Centers for Medicare & Medicaid Services assigned the 1548368160 to Marquita Corliss on 2006-09-20.
When was the information regarding Marquita Corliss, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Marquita Corliss, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-27.
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