IndividualActive
Anthony Michelich, D.D.S.
NPI 1801968839 · Periodontics · Rochester, MN
Provider details
- NPI number
- 1801968839
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 07829 (MN)
Specialties & taxonomies
Dental Providers
Practice location
2112 Viking Dr Nw
Rochester, MN 55901-3522
Phone: (507) 288-1338
Approximate (ZIP-level) locationGet directions
Mailing address
1408 Wilshire Woods Ln Ne
Rochester, MN 55906-6917
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 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.