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KELLEN MARIKO TADANO DDS NPI 1962846568


NPI Information

NPI: 1962846568
Provider Name: KELLEN MARIKO TADANO, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3144 EL CAMINO REAL STE 102
CARLSBAD, CA
ZIP 92008
Phone: (760) 720-2200
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Kellen Mariko Tadano, DDS is a general practice dentist in Carlsbad, 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. Kellen Mariko Tadano, DDS NPI is 1962846568. 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:

3144 EL CAMINO REAL STE 102
CARLSBAD, CA
ZIP 92008-194
Phone: (760) 720-2200

The enumeration date for this NPI number is 4/25/2013 and was last updated on 4/25/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice46984CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.