Individual provider · Type 1 NPI

Linda M. Maytan, DDS

Student in an Organized Health Care Education/Training Program · Faribault, MN

NPI number 1295867562 Active

Practice location

400 4th St NW, Suite A3A
Faribault, MN 55021-5031

Call (507) 384-6830 Map

Fax (651) 431-5575

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X11380 (MN)
Dentist 122300000X21230 (MA)
Student in an Organized Health Care Education/Training Program Primary 390200000X21230 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

17 other providers at this address

Other student in an organized health care education/training program providers in Faribault

See all in Faribault →

About NPI 1295867562

Linda M. Maytan, DDS's National Provider Identifier is 1295867562, issued on Mar 12, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Faribault, MN. The record was last updated on Aug 27, 2015.