MEDICARE: MYRIAM MAHAFFEY DENTAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1215162755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MYRIAM MAHAFFEY DENTAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 193
Second Line	:
City	:	LA QUINTA
State	:	CA
Zip	:	92247-0193
Country	:	US
Telephone Number	:	760-234-6497
Fax Number	:

Provider Business Practice Location Address
First Line	:	50855 WASHINGTON ST
Second Line	:	SUITE 2G
City	:	LA QUINTA
State	:	CA
Zip	:	92253-2891
Country	:	US
Telephone Number	:	760-234-6497
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MYRIAM MAHAFFEY
Credential	:	D.D.S
Telephone Number	:	760-234-6497

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	05/28/2009

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1851562672 — DR. MYRIAM MAHAFFEY D.D.S
Practice Location Address:

50855 WASHINGTON ST , SUITE 2G
LA QUINTA, CA
92253-2891

Practice Phone: 760-234-6497
Practice Fax:

1932101227 — COASTAL ORTHOTICS AND PROSTHETICS LLC
Practice Location Address:

4600 HIGHWAY 22 STE 1
MANDEVILLE, LA
70471-2891

Practice Phone: 985-626-1135
Practice Fax: 985-626-1174

1205973518 — DR. CATHERINE ANNE HEBERT DDS
Practice Location Address:

4600 HIGHWAY 22 , SUITE 4
MANDEVILLE, LA
70471-2891

Practice Phone: 985-626-0111
Practice Fax: 985-626-0164

1760717938 — IMAGE-3D
Practice Location Address:

4600 HIGHWAY 22 , SUITE 4
MANDEVILLE, LA
70471-2891

Practice Phone: 985-674-5200
Practice Fax: 985-626-0164

1891124160 — HEALTHSTAT ON-SITE CLINIC/EBRSO
Practice Location Address:

2891 ROSENWALD RD
BATON ROUGE, LA
70807-4451

Practice Phone: 225-355-1253
Practice Fax:

Directions to “MYRIAM MAHAFFEY DENTAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.