Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306332010 Individual Practitioner Female Practitioner

Marissa Gardner

Technician, Other • Coos Bay, OR

Professional Overview & Biography Verified Profile Summary

Marissa Gardner is a registered healthcare professional specializing in Technician, Other in Coos Bay, OR. Practice services are available at 1245 FULTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1245 Fulton Ave

Coos Bay, OR 974202895

Telephone 5418886433
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Coos Bay, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Coos Bay, OR (152 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-17
Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Dental Therapist

NUCC Taxonomy Code: 125J00000X

State License OR DT0005

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1053486696

Doctor of Dental Medicine

Naomi Petrie

Technician, Other

NPI 1215451661
Patricia Peyton , RDH

Dental Hygienist

NPI 1225229131

Registered Dental Hygienist

NPI 1396113007
NPI 1437285798

Doctor of Dental Surgery

NPI 1518342179

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Dental Therapist (License #DT0005 in OR)

NPI Profile Active July 05, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 05, 2018

Registered at 1245 FULTON AVE, COOS BAY, OR 974202895 (Tel: 5418886433)

📍
Updated Business Mailing Address July 05, 2018

Registered at 1245 FULTON AVE, COOS BAY, OR 974202895

👤
Provider Name / Credentials Updated July 05, 2018

Recorded as MARISSA GARDNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2018

Technician, Other

🟢
Initial NPI Registration & Enumeration July 05, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306332010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2018
Last Update: September 17, 2024
Sole Proprietor: No

Mailing Address

1245 Fulton Ave

Coos Bay, OR 974202895

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.