LINDA M MAYTAN DDS NPI 1295867562

NPI Information

NPI: 1295867562
Provider Name: LINDA M MAYTAN, DDS
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address: 400 4TH ST NW
SUITE A3A
FARIBAULT, MN
ZIP 55021
Phone: (507) 384-6830

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NPI Details

Linda M Maytan, DDS is a student in an organized health care education training program in Faribault, MN. The provider is 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. Linda M Maytan, DDS NPI is 1295867562. 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:

400 4TH ST NW
SUITE A3A
FARIBAULT, MN
ZIP 55021-031
Phone: (507) 384-6830
Fax: (651) 431-5575

The enumeration date for this NPI number is 3/12/2007 and was last updated on 8/27/2015.

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	License Number	License State	Primary
1	122300000X	Dentist	11380	MINNESOTA	No
2	122300000X	Dentist	21230	MASSACHUSETTS	No
3	390200000X	Student in an Organized Health Care Education/Training Program	21230	MASSACHUSETTS	Yes

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: 11/21/2025

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