MARIAN TZU MIAO LIN D.D.S. NPI 1275521072

NPI Information

NPI: 1275521072
Provider Name: MARIAN TZU MIAO LIN, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1205 W. RENAISSANCE PKWY
UNIT 240
RIALTO, CA
ZIP 92376
Phone: (909) 746-5000
Get Directions

Marian Tzu Miao Lin, D.D.S. is a general practice dentist in Rialto, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Marian Tzu Miao Lin, D.D.S. NPI is 1275521072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1205 W. RENAISSANCE PKWY
UNIT 240
RIALTO, CA
ZIP 92376
Phone: (909) 746-5000
Fax: (310) 820-0408

The NPI 1275521072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 10/6/2005 and was last updated on 7/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DDS105814	CALIFORNIA	Yes
2	1223G0001X	Dentist	General Practice	DE00009812	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5049036	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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