Mark Richard Minichelli in Erie - General Practice
Mark Richard Minichelli - NPI 1134209513
Mark Richard Minichelli is a General Practice in Erie, Pennsylvania. Mark Richard Minichelli practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Richard Minichelli is 1134209513. The last update date is 2007-07-08.
Mark Richard Minichelli's current location address is 2606 Caughey Rd, Erie, Pennsylvania. You can contact this provider via phone number 8148334393 and fax number 8148380781. The mailing address for Mark Richard Minichelli is 2606 Caughey Rd, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Minichelli |
|---|---|
| Address | 2606 Caughey Rd, Erie, Pennsylvania |
| Phone Number | 8148334393 |
| Fax Number | 8148380781 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1134209513 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2606 Caughey Rd |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165062148 |
| Phone Number | 8148334393 |
| Fax Number | 8148380781 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS027249L |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 608515 | PA | UNITED CONCORDIA PROVIDER |
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What is the unique provider identifier assigned to Mark Richard Minichelli?
The Mark Richard Minichelli has been issued the NPI (National Provider Identifier) 1134209513 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Mark Richard Minichelli located?
The Mark Richard Minichelli is located at 2606 Caughey Rd, Erie, PA 165062148.
What is Mark Richard Minichelli's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Richard Minichelli is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134209513 to Mark Richard Minichelli?
The Centers for Medicare & Medicaid Services assigned the 1134209513 to Mark Richard Minichelli on 2006-10-17.
When was the information pertaining to Mark Richard Minichelli most recently updated or revised?
The details related to Mark Richard Minichelli, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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