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MERISSA VELMA RICHTER MARCUSSEN D.D.S NPI 1891140075


NPI Information

NPI: 1891140075
Provider Name: MERISSA VELMA RICHTER MARCUSSEN, D.D.S
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
4180 DEAN LAKES BLVD
SHAKOPEE, MN
ZIP 55379
Phone: (952) 233-1020
Get Directions

Merissa Velma Richter Marcussen, D.D.S is a general practice dentist in Shakopee, MN. 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. Merissa Velma Richter Marcussen, D.D.S NPI is 1891140075. 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:

4180 DEAN LAKES BLVD
SHAKOPEE, MN
ZIP 55379-851
Phone: (952) 233-1020

The NPI 1891140075 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).

The enumeration date for this NPI number is 4/26/2016 and was last updated on 9/29/2022.


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
11223G0001XDentistGeneral PracticeD13693MINNESOTAYes

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: 5/5/2024

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