MARINA REZKALLA DMD NPI 1225728512

NPI Information

  • NPI: 1225728512
  • Provider Name: MARINA REZKALLA, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 400 S TOWNLINE RD
    WAUTOMA, WI
    ZIP 54982
  • Phone: (224) 535-0855

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NPI Details

Marina Rezkalla, DMD is a general practice dentist in Wautoma, WI. The provider is 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. Marina Rezkalla, DMD NPI is 1225728512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 S TOWNLINE RD
WAUTOMA, WI
ZIP 54982-922
Phone: (224) 535-0855

The enumeration date for this NPI number is 5/10/2023 and was last updated on 6/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041S0200XSocial WorkerSchoolNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
31223G0001XDentistGeneral Practice6001829-15WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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