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Dr. Peter Louis Michelich, DDS
General Practice Dentistry in Plymouth, Minnesota
NPI 1649352501

Peter Louis Michelich is a General Practice Dentistry based in Plymouth, MN and is specialized in General Practice. Peter Louis Michelich practices in Plymouth, MN and has the professional credentials of DDS. The NPI Number for Peter Louis Michelich is 1649352501 and holds a License No. D7115 (Minnesota).

The current practice location address for Peter Louis Michelich is 4000 Annapolis Ln N, Plymouth, MN and can be reached out via phone at 763-551-0501 and via fax at 612-573-6687. You can also correspond with Peter Louis Michelich through the mailing address at 4000 ANNAPOLIS LN N, PLYMOUTH, MN - 55447-5480 (mailing address contact number: 763-551-0501).

Location: 4000 Annapolis Ln N, Plymouth, MN, 55447-5480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649352501
Provider Name
Peter Louis Michelich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4000 Annapolis Ln N, Plymouth, MN, 55447-5480
Phone Number
763-551-0501
Fax Number
612-573-6687
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4000 Annapolis Ln N
City
Plymouth
State
Minnesota
Zip
55447-5480
Phone Number
763-551-0501
Fax Number
612-573-6687
person
Provider Business Mailing Address Details
Address
4000 Annapolis Ln N
City
Plymouth
State
Minnesota
Zip
55447-5480
Phone Number
763-551-0501
Fax Number
612-573-6687
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D7115 (Minnesota)
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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