Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710961495 Individual Practitioner Male Practitioner

Dr. Michael Robert Marchetti , DDS

Dentist - General Practice • Wheaton, MN

Professional Overview & Biography Verified Profile Summary

Dr. Michael Marchetti, DDS is a registered healthcare professional specializing in Dentist - General Practice in Wheaton, MN. Practice services are available at 1511 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1511 Broadway
Box 84

Wheaton, MN 562961040

Telephone 3205634800
Associated Practice Facility / Clinic
🏢 Lake Valley Dental Pllc Facility NPI 1720755531

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wheaton, MN

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

Practicing in Wheaton, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MN 8915

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9547 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1336508670

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 17, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2007

Registered at 1511 BROADWAY, BOX 84, WHEATON, MN 562961040 (Tel: 3205634800)

📍
Updated Business Mailing Address October 17, 2007

Registered at 1511 BROADWAY, BOX 84, WHEATON, MN 562961040 (Tel: 3205634800)

👤
Provider Name / Credentials Updated October 17, 2007

Recorded as MICHAEL MARCHETTI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2007

Dentist (License #8915 in MN)

🟢
Initial NPI Registration & Enumeration December 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710961495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2005
Last Update: October 17, 2007
Sole Proprietor: Yes

Mailing Address

1511 Broadway, Box 84

Wheaton, MN 562961040

Phone: 3205634800

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.