Merissa Velma Richter Marcussen, D.D.S

General Practice Dentistry · Shakopee, MN

Individual Active NPI

NPI number 1891140075

Practice location

4180 Dean Lakes Blvd
Shakopee, MN 55379-2851
Phone
(952) 233-1020

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NPI record

NPI
1891140075
Entity type
Individual (Type 1)
Enumeration date
April 26, 2016
Last updated
September 29, 2022
Certified
September 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D13693 MN

Mailing address

1121 Vagabond Ct N
Plymouth, MN 55447-2572
Phone
(612) 247-2314

Other practice locations (1)

  • 1660 Highway 100 S Ste 122, Minneapolis, MN 55416-1483 · (952) 544-4129

About Dr. Marcussen

Merissa Velma Richter Marcussen, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4180 Dean Lakes Blvd, Shakopee, MN 55379-2851. The NPI number 1891140075 was assigned on April 26, 2016 and the record was last updated on September 29, 2022.

Dr. Marcussen lists a license in the registry: #D13693 (MN) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Merissa Velma Richter Marcussen, D.D.S?

The NPI number is 1891140075.

What is the phone number of Dr. Marcussen?

The phone number listed for the practice location is (952) 233-1020.

Where is Dr. Marcussen located?

4180 Dean Lakes Blvd, Shakopee, MN 55379-2851.

What is the taxonomy code for Dr. Marcussen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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