Mardell, Michael C.

Mardell, Michael C. is an individual health care provider with primary practice located at 14470 Cameo Ave W , Rosemount MN 55068-4025. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Mardell, Michael C. can be contacted via phone (651) 423-2259.

Contact Information

Primary practice address
14470 Cameo Ave W Rosemount MN 55068-4025
Phone: (651) 423-2259
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D7883 Minnesota

Profile Details

NPI number 1164504437
LBN Legal business name Mardell, Michael C.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164504437 NPPES
Minnesota Other 1255369278 CORPORATION NPI

Popular Providers