Marty Michael Spanish, DDS is a
Dentist based in South Saint Paul, Minnesota. Marty Michael Spanish is licensed to practice in Minnesota (license number D12417) and his current practice location is
800 Marie Ave, South Saint Paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 451-1277.
NPI number for Marty Michael Spanish is 1225232101 and his current mailing address is 800 Marie Ave, South Saint Paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225232101.
Healthcare Provider's Profile
Full Name | Marty Michael Spanish |
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Gender | Male |
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Speciality | Dentist |
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Location | 800 Marie Ave, South Saint Paul, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225232101
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 07/23/2007
Medical Identifiers
Medical identifiers for Marty Michael Spanish such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225232101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D12417 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marty Michael Spanish is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marty Michael Spanish, DDS 800 Marie Ave, South Saint Paul, MN 55075-2055 Ph: (651) 451-1277 | Marty Michael Spanish, DDS 800 Marie Ave, South Saint Paul, MN 55075-2055 Ph: (651) 451-1277 |
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