Active NPI 1770063273 Individual Practitioner Male Practitioner

Dr. Melvin Varughese , DMD

Dentist - General Practice • Superior, WI

Professional Overview & Biography Verified Profile Summary

Dr. Melvin Varughese, DMD is a registered healthcare professional specializing in Dentist - General Practice in Superior, WI. Practice services are available at 2222 E 5TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2222 E 5th St

Superior, WI 548803709

Telephone 7153921955

Fax 7153921935

Associated Practice Facility / Clinic

🏢 Lake Superior Community Health Center Facility NPI 1063789022

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Superior, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

20 Specialists

Practicing in Superior, WI (2459 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: 2024-01-30

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WI 1002481

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

4325 Grand Ave

Duluth, MN 558072730

Phone: 2186287035

Practice Associates & Co-Workers

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

33 Associated Practitioners

Cathy Baker , RN

Registered Nurse

NPI 1003164393

Registered Nurse

Penny Jo Waldum , RN

Registered Nurse

NPI 1003279332

Registered Nurse

John Wakefield , RN

Registered Nurse

NPI 1013936731

Registered Nurse

Holly Woodhull , RN

Registered Nurse

NPI 1043979354

Registered Nurse

Dr. Kyndal Holmes , DDS

Dentist - General Practice

NPI 1073437745

Doctor of Dental Surgery

Blaire Hysjulien , LCSW

Social Worker - Clinical

NPI 1093168866

Licensed Clinical Social Worker

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2024

Dentist (License #1002481 in WI)

📍

Updated Practice Location October 18, 2021

Registered at 2222 E 5TH ST, SUPERIOR, WI 548803709 (Tel: 7153921955)

📍

Updated Business Mailing Address October 18, 2021

Registered at 2222 E 5TH ST, SUPERIOR, WI 548803709 (Tel: 7153921955)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2021

Dentist (License #D14498 in MN)

📍

Updated Practice Location March 25, 2021

Registered at 3600 TOWER AVE, SUPERIOR, WI 548805589 (Tel: 1573945411)

📍

Updated Business Mailing Address March 25, 2021

Registered at 1500 N 34TH ST STE 200, SUPERIOR, WI 548804477 (Tel: 7153955380)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2021

Dentist (License #1002481 in WI)

✅

NPI Profile Active August 15, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2018

Registered at 3940 W WHEATLAND RD, DALLAS, TX 752373468 (Tel: 9722276453)

📍

Updated Business Mailing Address August 15, 2018

Registered at 3940 W WHEATLAND RD, DALLAS, TX 752373468 (Tel: 9722276453)

👤

Provider Name / Credentials Updated August 15, 2018

Recorded as MELVIN VARUGHESE, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2018

Dentist (License #34400 in TX)

🟢

Initial NPI Registration & Enumeration August 15, 2018

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: 1770063273

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 15, 2018

Last Update: January 30, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2222 E 5th St

Superior, WI 548803709

Phone: 7153921955

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.