Individual provider · Type 1 NPI

Peter Louis Michelich, DDS

General Practice Dentistry · Plymouth, MN

NPI number 1649352501 Active

Practice location

4000 Annapolis Ln N, Suite 103
Plymouth, MN 55447-5480

Call (763) 551-0501 Map

Fax (612) 573-6687

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD7115 (MN)

General Practice Dentistry: 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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About NPI 1649352501

Peter Louis Michelich, DDS's National Provider Identifier is 1649352501, issued on Oct 19, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Plymouth, MN. The record was last updated on Jul 8, 2007.