Raymond Mazuchowski DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RAYMOND MAZUCHOWSKI DDS

Practice address

3915 Hall Ave
Marinette, WI 54143-1017

Phone

(715) 735-3897

Fax

(715) 735-3898

NPI assigned

Aug 4, 2023

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Raymond Mazuchowski, D.D.S.NPI 1255875944

Title

Dentist

Phone

(715) 735-3897

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond J Mazuchowski Jr., DDS

  • Dentist
  • San Pedro, CA
  • NPI 1255875944
  NPD Authorized official
• Bradley M. Romenesko, D.D.S.

  • General Practice Dentistry
  • Marinette, WI
  • NPI 1790962231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1518649920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 HALL AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431017",
            "telephone_number": "715-735-3897",
            "fax_number": "715-735-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 HALL AVE",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541431017",
            "telephone_number": "715-735-3897",
            "fax_number": "715-735-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND MAZUCHOWSKI DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-04",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "MAZUCHOWSKI",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "715-735-3897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shobha Ramaiah, MD
• Samantha T Ramsey, SLP
• Jordan Rasner, PTA
• Arjun Raval, MD
• Tiffany Raven
• Amy M Recla, APNP
• James F Reeves, D.O.
• Cheryl Ann Reichl, PTA
• Kevin Joseph Reid, MD
• Nancy Renae Reiland, RN

• Dental Clinic/Center in Marinette, WI
• Providers in Marinette, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.