Maytan, Linda M

Maytan, Linda M is an individual health care provider with primary practice located at 400 4Th St Nw Suite A3A, Faribault MN 55021-5031. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Maytan, Linda M can be contacted via phone (507) 384-6830.

Contact Information

Primary practice address
400 4Th St Nw Suite A3A Faribault MN 55021-5031
Phone: (507) 384-6830
Fax: (651) 431-5575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11380 Minnesota
Dental Providers / Dentist 122300000X 21230 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 21230 Massachusetts

Profile Details

NPI number 1295867562
LBN Legal business name Maytan, Linda M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Aug 27th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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