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Deactivated NPI 1134209513 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Richard Minichelli , DMD

Dentist - General Practice • Erie, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Minichelli has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2006
NPI Deactivation Date July 23, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Minichelli, DMD was a registered Dentist - General Practice practicing in Erie, PA. Throughout an active medical career spanning 20 years, Dr. Minichelli provided care at the practice location at 2606 CAUGHEY RD until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

2606 Caughey Rd

Erie, PA 165062148

Telephone 8148334393
Fax 8148380781
Associated Practice Facility / Clinic
🏢 Minichelli Dentistry, Inc. Facility NPI 1275677452

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Erie, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.0 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
78 Specialists

Practicing in Erie, PA (4936 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 PA DS027249L

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1093373326

Doctor of Dental Medicine

NPI 1699033431

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 23, 2026

Record deactivated on July 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2606 CAUGHEY RD, ERIE, PA 165062148 (Tel: 8148334393)

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Updated Business Mailing Address July 08, 2007

Registered at 2606 CAUGHEY RD, ERIE, PA 165062148 (Tel: 8148334393)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK MINICHELLI, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DS027249L in PA)

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Initial NPI Registration & Enumeration October 17, 2006

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: 1134209513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Deactivation Date: July 23, 2026

Mailing Address

2606 Caughey Rd

Erie, PA 165062148

Phone: 8148334393

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.