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Marisa M Tegarden

Dental Hygienist

959 Myrtle Ave
Eureka , California 95501-1219

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Marisa M Tegarden

Dental Hygienist

959 Myrtle Ave
Eureka , California 95501-1219

(707) 826-8638

Write a Review Save Call

Marisa M Tegarden

Dental Hygienist

959 Myrtle Ave
Eureka , California 95501-1219

(707) 826-8638 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dental Hygienist

Languages spoken

  • English

Location

959 Myrtle Ave Eureka , California 95501-1219

First Address

  • Marisa M Tegarden
  • 670 9th St Ste 203
  • Arcata, CA
  • Zip : 95521-6249
  • Fax : (707) 826-8638
  • Phone : (707) 826-8633

Second Address

  • Marisa M Tegarden
  • 959 Myrtle Ave
  • Eureka, CA
  • Zip : 95501-1219
  • Fax : (707) 442-7298
  • Phone : (707) 442-7078

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FAQs


Where did Marisa M Tegarden attend graduate school?

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Where did Marisa M Tegarden do her residency?

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Where did Marisa M Tegarden do her fellowship?

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Is Marisa M Tegarden board certified?

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What type of doctor is Marisa M Tegarden

Dental Hygienist

In what state does Marisa M Tegarden practice in?

California

Where is Marisa M Tegarden ’s practice located?

959 Myrtle Ave , Eureka, California, 95501-1219

What is Marisa M Tegarden ’s gender?

Female

Is Marisa M Tegarden a sole practitioner?

No

Is Marisa M Tegarden accepting new patients?

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What languages does Marisa M Tegarden speak?

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Does Marisa M Tegarden accept insurance?

Yes, Marisa M Tegarden accepts insurance

Does Marisa M Tegarden offers telemedicine?

Marisa M Tegarden has not indicated if she offers telemedicine

What is Marisa M Tegarden ’s professional license number?

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What is Marisa M Tegarden ’s NPI number?

1053845644

Does Marisa M Tegarden have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 124Q00000X Dental Hygienist 26631 CA

National Provider Identifier

NPI 1053845644
Provider Name Marisa M Tegarden
First Address Arcata, CA 95521-6249
Second Address Eureka, CA 95501-1219
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 20/04/2017
Last Update Date 20/04/2017

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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