DR. MICHAEL ROBERT MARCHETTI (NPI# 1710961495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710961495 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROBERT MARCHETTI |
| Credential | DDS |
| Practice Address |
1511 Broadway Box 84 Wheaton MN 56296-1040 |
| Practice Telephone | 3205634800 |
| Mailing Telephone | 3205634800 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8915 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 9547 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609810241 | Michael Marchetti | Emergency Medicine | Bayshore Community Hospital, 727 N. Beers Street, Holmdel, NJ 07733 | 2006-06-15 |
| 1407361488 | Michael Marchetti | Registered Nurse | 55 3rd Ave, Kingston, PA 18704-5723 | 2017-12-12 |
| 1316384613 | Michael Marchetti | Family Medicine | 130 Hartford Rd, Manchester, CT 06040 | 2013-05-28 |
| 1003084591 | Michael Armando Marchetti | Dermatology | 160 E 53rd St, New York, NY 10022-5243 | 2008-02-18 |
| 1952338519 | Michael E Marchetti | Orthopaedic Surgery | 2 Pond Park Rd., Ste. 102, Hingham, MA 02043-4309 | 2006-06-27 |
| Street Address |
1511 BROADWAY BOX 84 |
| City | WHEATON |
| State | MN |
| Zip Code | 56296-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124222815 | Traverse County Social Services | Public Health or Welfare | 202 8th Street North, Wheaton, MN 56296 | 2007-06-14 |
| 1649491275 | Jill M Lemke | Occupational Therapist | 1205 5th Ave. N., Wheaton, MN 56296 | 2007-05-01 |
| 1043458466 | Prairie Acupuncture and Natural Healing Center, Inc. | Clinic/Center | 1502 Broadway, Wheaton, MN 56296-1041 | 2009-01-22 |
| 1619915543 | Fergus Falls Medical Group, P.a. | Clinic/Center | 403 12th St N, Wheaton, MN 56296-1070 | 2006-06-03 |
| 1326045253 | City of Wheaton | General Acute Care Hospital | 401 12th St N, Wheaton, MN 56296-1070 | 2005-07-07 |
| 1821646704 | Nancy Marie Teravskis | Occupational Therapist | 401 12th St N, Wheaton, MN 56296-1070 | 2019-09-03 |
| 1609343896 | Paige Elizabeth Jenson | Physician Assistant | 401 12th St N, Wheaton, MN 56296-1070 | 2018-10-26 |
| 1760737670 | Sanford Health Network North | Clinic/Center | 401 12th St N, Wheaton, MN 56296-1070 | 2012-07-17 |
| 1063706489 | Sanford Health Network North | Medicare Defined Swing Bed Unit | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
| 1154615573 | Sanford Health Network North | Ambulance | 401 12th St N, Wheaton, MN 56296-1070 | 2011-06-02 |
| Find all providers in zip 56296 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770998247 | Wheaton Mall Dental LLP | Dentist | 11160 Veirs Mill Rd Spc 168, Wheaton, MD 20902-5913 | 2014-06-24 |
| 1659632248 | Khalfani Walker, Dmd, LLC | Dentist | 11175 Georgia Ave, Unit A, Wheaton, MD 20902-4605 | 2012-05-31 |
| 1295983799 | Gregory Minor, D.d.s., P.C. | Dentist | 1825 E. Roosevelt Rd, Wheaton, IL 60187-6973 | 2008-09-09 |
| 1659529154 | Gregory B. Minor | Dentist | 1825 E. Roosevelt Rd., Wheaton, IL 60187-6973 | 2008-09-09 |
| 1760638894 | Rajwant Singh | Dentist | 11208 Grandview Ave, Wheaton, MD 20902-4632 | 2008-08-08 |
| 1184885626 | Vickyann Chrobak | Dentist | 531 E Roosevelt Rd Ste 100, Wheaton, IL 60187-5519 | 2008-06-18 |
| 1427254408 | Heather Minh Nguyen | Dentist | 2730 University Bldv, #514, Wheaton Dental Partners, Wheaton, MD 20902 | 2007-06-26 |
| 1730397589 | Dean A. Francis, D.d.s., P.C. | Dentist | 1749 S Naperville Rd, Suite # 102, Wheaton, IL 60187-8192 | 2007-05-17 |
| 1669686028 | Hector M Serrano | Dentist | 11228 Georgia Ave Ste 12, Wheaton, MD 20902-4694 | 2007-05-09 |
| 1992918478 | Mark Lawrence Vitale | Dentist | 101 E Cole Ave, Wheaton, IL 60187-3105 | 2007-05-08 |
| Find all providers in WHEATON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.