Provider Demographics
NPI:1699983478
Name:REINHARDT, MARYLINN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARYLINN
Middle Name:
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 SEACLIFF DR
Mailing Address - Street 2:
Mailing Address - City:APTOS
Mailing Address - State:CA
Mailing Address - Zip Code:95003-3540
Mailing Address - Country:US
Mailing Address - Phone:831-251-1090
Mailing Address - Fax:
Practice Address - Street 1:715 SEACLIFF DR
Practice Address - Street 2:
Practice Address - City:APTOS
Practice Address - State:CA
Practice Address - Zip Code:95003-3540
Practice Address - Country:US
Practice Address - Phone:831-251-1090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51992122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist