1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Dentist
  6. NPI Profile

MARYUM TARIQ
NPI 1336557396
Dentist in Santa Rosa, CA

Active since July 23, 2014
4100 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 537-2020 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maryum Tariq NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYUM TARIQ (NPI 1336557396) is an individual dentist in Santa Rosa, California, licensed in California (63626) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1336557396
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMARYUM TARIQ
Location Address4100 MONTGOMERY DRSanta Rosa, CA 95405-5282
Mailing Address4100 Montgomery DrSanta Rosa, CA 95405-5282 · (707) 537-2020
Phone(707) 537-2020
Sole ProprietorNo
Enumeration DateJuly 23, 2014
✔ NPI 1336557396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 63626
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4100 MONTGOMERY DR, Santa Rosa, CA 95405
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY CHIA YE LIU
Dentist
4100 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 536-0761
DR. YASAMIN SARIASLANI D.D.S
Dentist
4100 MONTGOMERY DR, STE. A
SANTA ROSA, CA 95405
Sonoma County (707) 537-2020
ANTOANELA GARBACEA D.D.S.
Dentist (General Practice)
4100 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 537-2020
LATA KARIR
Dentist (General Practice)
4100 MONTGOMERY DR, SUITE B
SANTA ROSA, CA 95405
Sonoma County (707) 537-2020
HAITHAM SAMI
Dentist (General Practice)
4100 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 536-0761
DR. WONSEOK LEE
Dentist (General Practice)
4100 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 537-2020
WESTERN DENTAL SERVICES, INC.
Dentist (General Practice)
4100 MONTGOMERY DR, STE. #B
SANTA ROSA, CA 95405
Sonoma County (707) 537-2020
DR. WESLEY MIN-DA CHIANG D.M.D.
Dentist (Orthodontics and Dentofacial Orthopedics)
4100 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 537-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryum Tariq's NPI number?

The NPI number for Maryum Tariq is 1336557396. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Maryum Tariq located?

Maryum Tariq practices at 4100 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 537-2020.

What is Maryum Tariq's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Maryum Tariq accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Maryum Tariq as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryum Tariq was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.