Linda M Maytan, DDS is a
Student In An Organized Health Care Education/training Program based in Faribault, Minnesota. Linda M Maytan is licensed to practice in Massachusetts (license number 21230) and her current practice location is
400 4th St Nw, Suite A3a, Faribault, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(507) 384-6830.
NPI number for Linda M Maytan is 1295867562 and her current mailing address is 400 4th St Nw, Southern Cities Clinic, Faribault, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295867562.
Healthcare Provider's Profile
| Full Name | Linda M Maytan |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 400 4th St Nw, Faribault, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295867562
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 08/27/2015
Medical Identifiers
Medical identifiers for Linda M Maytan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295867562 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 11380 (Minnesota) | Secondary |
| 122300000X | Dentist | 21230 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 21230 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Linda M Maytan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Linda M Maytan, DDS
400 4th St Nw, Southern Cities Clinic,
Faribault, MN 55021-5031
Ph: (507) 384-6830 | Linda M Maytan, DDS
400 4th St Nw, Suite A3a,
Faribault, MN 55021-5031
Ph: (507) 384-6830 |
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