Doctor profile · Federal record
Dr. Maryum Tariq
Dentist · Santa Rosa, CA
- NPI 1336557396
- 12 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4100 Montgomery Dr
Santa Rosa, CA 954055282
(707) 537-2020
Credentials & registration
- NPI registered
- July 2014 — 12 yrs on file
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- California #63626
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336557396. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 1 | $22.70 |
By nature of payment
Frequently asked questions
What is Dr. Maryum Tariq's medical specialty?
Dr. Maryum Tariq practices Dentist in Santa Rosa, CA.
Where does Dr. Maryum Tariq practice?
Dr. Maryum Tariq practices at 4100 Montgomery Dr, Santa Rosa, CA 954055282. Office phone: 7075372020.
What is Dr. Maryum Tariq's NPI?
Dr. Maryum Tariq's National Provider Identifier (NPI) is 1336557396, issued by NPPES.