Individual provider · Type 1 NPI

Maryam Ghazi, RDH

Dental Hygienist · Mccloud, CA

NPI number 1114498607 Active · reactivated Mar 10, 2026

Practice location

116 W Minnesota Ave.
Mccloud, CA 96057

Mailing address

3421 Summit Dr
Mount Shasta, CA 96067-9163

Other practice locations

  • 116 W Minnesota Ave., Mccloud, CA 96057 · (530) 964-2040

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X18611 (CA)

Dental Hygienist: 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 legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1114498607

Maryam Ghazi, RDH's National Provider Identifier is 1114498607, issued on Dec 10, 2018. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Mccloud, CA. The record was last updated on Mar 10, 2026.