MARTY J ESPE DDS MD NPI 1760532139

NPI Information

  • NPI: 1760532139
  • Provider Name: MARTY J ESPE, DDS, MD
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3617 W ARROWHEAD RD
    DULUTH, MN
    ZIP 55811
  • Phone: (218) 722-8377

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NPI Details

Marty J Espe, DDS, MD is an oral and maxillofacial surgery dentist in Duluth, MN with 28 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Marty J Espe, DDS, MD NPI is 1760532139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3617 W ARROWHEAD RD
DULUTH, MN
ZIP 55811-046
Phone: (218) 722-8377
Fax: (218) 722-3117

The NPI 1760532139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)

The enumeration date for this NPI number is 1/10/2007 and was last updated on 12/20/2013.

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
11223S0112XDentistOral and Maxillofacial Surgery5006WISCONSINNo
2204E00000XOral & Maxillofacial Surgery40391MINNESOTANo
31223S0112XDentistOral and Maxillofacial Surgery11100MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
133751200OTHERWISCONSINWISCONSIN MEDICAID
20003MEDICARE PINWISCONSIN
3G64454MEDICARE UPINMINNESOTA
4000379450MEDICARE PINWISCONSIN
5850000045MEDICARE PINMINNESOTA
649Q57ESOTHERMINNESOTAMINNESOTA BCBS
7749215400MEDICAIDMINNESOTA
8850000020MEDICARE PINMINNESOTA

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

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