MACLYN MERRITT (NPI# 1467064584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467064584 |
| Entity Type | Individual |
| Full Name | MACLYN MERRITT |
| Credential | RDH |
| Practice Address |
201 Walnut Ave Vallejo CA 94592-1107 |
| Mailing Address |
506 Aspen Ct Vacaville CA 95687-3315 |
| Practice Telephone | 7075628200 |
| Mailing Telephone | 5302492328 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 30444 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNK | UNK | 01 |
| Street Address |
201 WALNUT AVE |
| City | VALLEJO |
| State | CA |
| Zip Code | 94592-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516899 | Lauren Mccormick | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-07-27 |
| 1205456647 | Nicole Renee Randall | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-04-24 |
| 1740816958 | Chang Guo | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-03-19 |
| 1174156459 | Tiffany Tse | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2020-02-14 |
| 1184270159 | Brandon William Rebottaro | Student in an Organized Health Care Education/Training Program | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2019-08-14 |
| 1043733660 | Mark Watanabe | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2017-07-25 |
| 1881127785 | William Chao | Dentist | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2017-04-07 |
| 1386099430 | Rachel Trott | Social Worker | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2016-04-26 |
| 1538392618 | Mary M Beutner | Registered Nurse | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2009-08-24 |
| 1356458830 | Veterans Administration | Social Worker | 201 Walnut Ave, Vallejo, CA 94592-1107 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671811 | Amy Ngoc Anh Tran | Student in an Organized Health Care Education/Training Program | Touro University California, 1310 Club Drive, Vallejo, CA 94592 | 2019-10-25 |
| 1780168666 | Bill Darrel Danyeur | Health Educator | Touro University California Dpp, 1310 Club Drive, Vallejo, CA 94592 | 2018-09-18 |
| 1194034710 | Paul Robert Hansen | Pharmacist | 1310 Johnson Lane, Mare Island, Vallejo, CA 94592 | 2010-09-30 |
| 1548298607 | Touro University California | Family Medicine | 1310 Club Drive, Vallejo, CA 94592 | 2006-06-29 |
| 1093785362 | Ronald W. Eng | Dentist | Vanchcs Outpatient Clinic. Dental Service (160/mi), Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2006-01-26 |
| 1952386625 | Renu Yadav Sharma | Dentist | Va Nchcs- Dental Service, Bldg 201 Walnut Ave, Mare Island, CA 94592 | 2005-12-14 |
| 1689659518 | Linda Chie | Dentist | Va Northern California Health Care Systen Dental Clinic, Bldg. 201, Walnut Ave., Mare Island, CA 94592 | 2005-12-14 |
| 1114404712 | Keith Isamu Yoshizuka | Pharmacist | 1310 Club Drive, Touro University California College of Pharmacy, Vallejo, CA 94592 | 2018-07-26 |
| 1669996518 | Daniel Jaemoon Kang | Dentist | 201 Walnut Avenue, 612 Ge/mi Dental, Vallejo, CA 94592 | 2017-08-02 |
| 1689975278 | James Wesley Binkerd | Neuromusculoskeletal Medicine & OMM | 1310 Club Drive, Vallejo, CA 94592 | 2010-11-12 |
| Find all providers in zip 94592 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | 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 regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578948469 | Dean Wooldridge | Dental Hygienist | 1455 N Camino Alto Apt 231, Vallejo, CA 94589-2569 | 2015-07-21 |
| 1194382051 | Claudia Patino Gomez | Dental Hygienist | 2920 Sonoma Blvd, Vallejo, CA 94590-3875 | 2019-05-24 |
| 1992278147 | Jason Camiling | Dental Hygienist | 133 Plaza Dr, Vallejo, CA 94591-3703 | 2019-01-09 |
| 1619321353 | Edilyn Gurion | Dental Hygienist | 2920 Sonoma Blvd, #a, Vallejo, CA 94590-3875 | 2016-04-19 |
| 1649418187 | Donna Jean Williams | Dental Hygienist | 2920 Sonoma Blvd, Suite A, Vallejo, CA 94590-3875 | 2009-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841046 | Betty Satomi Fukumoto | Dental Hygienist | 16008 S Manhattan Pl, Gardena, CA 90247-3681 | 2020-11-08 |
| 1417558180 | Maria Antonette De Lara Kim | Dental Hygienist | 66 S San Gorgonio Ave Ste 5, Banning, CA 92220-6020 | 2020-11-07 |
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1649871914 | Maryam Ghahramani Shahneshin | Dental Hygienist | 1961 Grove Pl, Escondido, CA 92027-4101 | 2020-11-04 |
| 1285234047 | Maryann Detar | Dental Hygienist | 3154 Alum Rock Ave, San Jose, CA 95127-2903 | 2020-10-29 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1336748896 | Cynthia Garcia Macdougall | Dental Hygienist | 444 Hermosa Ave Apt 302, Hermosa Beach, CA 90254-4433 | 2020-10-25 |
| 1346849163 | Ambrosia Evon Steljes | Dental Hygienist | Building 13128 14th Street, Camp Pendleton, CA 92055-5221 | 2020-10-22 |
| 1427657261 | Julie Lynn March | Dental Hygienist | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MACLYN MERRITT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.