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Dr. Mark Richard Minichelli, DMD
General Practice Dentistry in Erie, Pennsylvania
NPI 1134209513

Mark Richard Minichelli is a General Practice Dentistry based in Erie, PA and is specialized in General Practice. Mark Richard Minichelli practices in Erie, PA and has the professional credentials of DMD. The NPI Number for Mark Richard Minichelli is 1134209513 and holds a License No. DS027249L (Pennsylvania).

The current practice location address for Mark Richard Minichelli is 2606 Caughey Rd, Erie, PA and can be reached out via phone at 814-833-4393 and via fax at 814-838-0781.

Location: 2606 Caughey Rd, Erie, PA, 16506-2148
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134209513
Provider Name
Mark Richard Minichelli
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2606 Caughey Rd, Erie, PA, 16506-2148
Phone Number
814-833-4393
Fax Number
814-838-0781
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
608515 01 PA UNITED CONCORDIA PROVIDER
institution
Provider Business Practice Location Address Details
Address
2606 Caughey Rd
City
Erie
State
Pennsylvania
Zip
16506-2148
Phone Number
814-833-4393
Fax Number
814-838-0781
person
Provider Business Mailing Address Details
Address
2606 Caughey Rd
City
Erie
State
Pennsylvania
Zip
16506-2148
Phone Number
814-833-4393
Fax Number
814-838-0781
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS027249L (Pennsylvania)
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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