Mariah M Mayne
Dental Hygienist
105 E Bluff St
Boscobel
, Wisconsin 53805-1610
Mariah M Mayne
Dental Hygienist
105 E Bluff St
Boscobel
, Wisconsin 53805-1610
(608) 654-7408
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Mariah M Mayne
- Po Box 39
- Cashton, WI
- Zip : 54619-0039
- Fax : (608) 654-7408
- Phone : (608) 654-5100
Second Address
- Mariah M Mayne
- 105 E Bluff St
- Boscobel, WI
- Zip : 53805-1610
- Fax : (608) 654-7408
- Phone : (608) 654-5100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 1003723 | WI |
National Provider Identifier
| NPI | 1013511872 |
|---|---|
| Provider Name | Mariah M Mayne |
| First Address | Cashton, WI 54619-0039 |
| Second Address | Boscobel, WI 53805-1610 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/11/2020 |
| Last Update Date | 23/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.