Peter Edward Marana, DDS
Individual provider Active NPI Dentist · Norway, MI
NPI 1457465726 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1457465726
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 14436 (MI)
- Practice address
- 711 E 7TH Ave
Norway, MI 49870-1373 - Phone
- (906) 563-5512
- Fax
- (906) 563-7434
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14436 | MI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14436 | MI | Yes |
Addresses
Primary practice location
711 E 7TH Ave
Norway, MI 49870-1373
Mailing address
711 E 7TH Ave
P.O. Box 67
Norway, MI 49870-1373
Phone (906) 563-5512
Other providers in Norway, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.