Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891140075 Individual Practitioner Female Practitioner

Dr. Merissa Velma Richter Marcussen , DDS

Dentist - General Practice • Shakopee, MN

Professional Overview & Biography Verified Profile Summary

Dr. Merissa Marcussen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Shakopee, MN. Practice services are available at 4180 DEAN LAKES BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4180 Dean Lakes Blvd

Shakopee, MN 553792851

Telephone 9522331020
Associated Practice Facility / Clinic
🏢 Shakopee Dental P.l.l.c. Facility NPI 1730308792

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Shakopee, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Shakopee, MN (2262 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN D13693

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.

Secondary Practice Locations

1660 Highway 100 S Ste 122

Minneapolis, MN 554161483

Phone: 9525444129

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Business Mailing Address September 29, 2022

Registered at 1121 VAGABOND CT N, PLYMOUTH, MN 554472572 (Tel: 6122472314)

👤
Provider Name / Credentials Updated September 29, 2022

Recorded as MERISSA MARCUSSEN, D.D.S

📍
Updated Practice Location November 04, 2019

Registered at 4180 DEAN LAKES BLVD, SHAKOPEE, MN 553792851 (Tel: 9522331020)

📍
Updated Practice Location October 02, 2018

Registered at 1215 TOWN CENTRE DR STE 150, EAGAN, MN 551232660 (Tel: 6512873729)

📍
Updated Business Mailing Address October 02, 2018

Registered at 313 WASHINGTON AVE S APT 1227, MINNEAPOLIS, MN 554151467 (Tel: 6122472314)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2018

Dentist (License #D13693 in MN)

NPI Profile Active September 25, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2017

Registered at 1545 CREEK DR, MORRIS, IL 604506857 (Tel: 8159420182)

📍
Updated Business Mailing Address September 25, 2017

Registered at 365 N HALSTED ST APT 2410, CHICAGO, IL 606611378 (Tel: (612) 247-2314)

👤
Provider Name / Credentials Updated September 25, 2017

Recorded as MERISSA RICHTER, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2017

Dentist (License #019030758 in IL)

NPI Profile Active July 17, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2016

Registered at 836 W WELLINGTON AVE, CHICAGO, IL 606575147 (Tel: 7739751600)

📍
Updated Business Mailing Address July 17, 2016

Registered at 856 W NELSON ST, APT 2002, CHICAGO, IL 606579202 (Tel: 6122472314)

👤
Provider Name / Credentials Updated July 17, 2016

Recorded as MERISSA RICHTER, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 26, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Merissa Marcussen. Be the first to share your experience!

Sign in to leave a review for Dr. Merissa Marcussen

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1891140075
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2016
Last Update: September 29, 2022
Sole Proprietor: No

Mailing Address

1121 Vagabond Ct N

Plymouth, MN 554472572

Phone: 6122472314

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.