Maria Chase

Individual provider Active NPI Dental Hygienist · Garden Ridge, TX

NPI 1154082568 · NPPES record last updated Jan 7, 2022

Key facts

NPI
1154082568
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
Practice address
9102 Portofino PL
Garden Ridge, TX 78266-2007
Phone
(210) 784-0072
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X Yes

Addresses

Primary practice location

9102 Portofino PL
Garden Ridge, TX 78266-2007

Mailing address

9102 Portofino PL
Garden Ridge, TX 78266-2007
Phone (210) 784-0072

Other providers in Garden Ridge, TX

All providers in Garden Ridge, TX · Dental Hygienist in Texas

Sources for this page

Verify at the official NPI Registry.