IndividualActive
Peter Michelich, D.D.S.
NPI 1649352501 · General Practice Dentistry · Plymouth, MN
Peter Michelich, D.D.S. is a General Practice Dentistry provider in Plymouth, MN (NPI 1649352501).
Provider details
- NPI number
- 1649352501
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- D7115 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4000 Annapolis Ln N
Suite 103
Plymouth, MN 55447-5480
Phone: (763) 551-0501
Fax: (612) 573-6687
Street-level locationGet directions
Mailing address
4000 Annapolis Ln N
Plymouth, MN 55447-5480
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Peter Michelich's NPI number?
- Peter Michelich's National Provider Identifier (NPI) is 1649352501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Michelich's specialty?
- Peter Michelich is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Peter Michelich located?
- Peter Michelich's practice location on file with NPPES is 4000 Annapolis Ln N, Plymouth, MN 55447-5480.
- What is Peter Michelich's phone number?
- The practice phone number listed in the NPPES registry for Peter Michelich is (763) 551-0501.
- Is Peter Michelich's NPI active?
- Yes — Peter Michelich's NPI (1649352501) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.