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MRS. MARILYN BLACKMUN PDHAP
NPI 1790909349
Dental Hygienist in La Canada, CA

Active since April 13, 2007
2209 SAN GORGONIO RD, LA CANADA, CA 91011(818) 957-1589(818) 957-1589 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Marilyn Blackmun Pdhap NPPES

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

MRS. MARILYN BLACKMUN PDHAP (NPI 1790909349) is an individual dental hygienist in La Canada, California, licensed in California (HAP11) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790909349
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. MARILYN BLACKMUNCredential: PDHAP
Location Address2209 SAN GORGONIO RDLa Canada, CA 91011-1352
Mailing Address2209 San Gorgonio RdLa Canada, CA 91011-1352 · (818) 957-1589 · Fax (818) 957-1589
Phone(818) 957-1589
Fax(818) 957-1589
Sole ProprietorNo
Enumeration DateApril 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790909349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CA · HAP11
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
2209 SAN GORGONIO RD, La Canada, CA 91011
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Other Identifiers 2

Medicaid28993701CA
Other133068CA · Delta Dental Ins

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 Marilyn Blackmun's NPI number?

The NPI number for Marilyn Blackmun is 1790909349. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Marilyn Blackmun located?

Marilyn Blackmun practices at 2209 San Gorgonio Rd, La Canada, CA 91011. The listed phone number is (818) 957-1589.

What is Marilyn Blackmun's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Marilyn Blackmun was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.