Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Gardner

Individual provider Dental Therapist · NPI 1306332010

Marissa Gardner is a Dental Therapist in Coos Bay, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1245 Fulton Ave
Coos Bay, OR 97420-2895
Phone: (541) 888-6433
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X
Dental Therapist Taxonomy 125J00000X · Licence DT0005 (OR)

Record details

NPI number1306332010
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 5, 2018
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address1245 Fulton Ave, Coos Bay, OR 97420-2895

Other providers in Coos Bay