DR. MARISSA MIKOLICH (NPI# 1043489610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043489610 |
| Entity Type | Individual |
| Full Name | DR. MARISSA MIKOLICH |
| Practice Address |
4100 Belden Village Mall Canton OH 44718-2502 |
| Mailing Address |
5875 Landerbrook Dr Suite 250 Mayfield Hts OH 44124-6511 |
| Practice Telephone | 3304947051 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
30.022031 | OH | Dental Providers |
| Street Address |
4100 BELDEN VILLAGE MALL |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669784583 | Brenton Michael Sedon | Dentist | 4100 Belden Village Mall, Canton, OH 44718-2587 | 2010-07-08 |
| 1629174396 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4100 Belden Village Mall, Canton, OH 44718-2502 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474588 | Owais Naeem | Dentist | 44633 Joy Rd Ste 300, Canton, MI 48187-1733 | 2020-07-06 |
| 1528595089 | Ritu Kular Singh | Dentist | 4227 S Canton Center Rd, Canton, MI 48188-2448 | 2017-05-16 |
| 1508318304 | Susan Sandstrom Guest | Dentist | 42287 Cherry Hill Rd Ste A, Canton, MI 48188-1976 | 2016-10-27 |
| 1013225077 | Sarah Elisabeth Wentzel | Dentist | 6592 Marshall St, Canton, MI 48187-1661 | 2010-09-23 |
| 1942452842 | Kylie Lane Lewis | Dentist | 3395 Sixes Rd Ste 140, Canton, GA 30114 | 2008-10-22 |
| 1891971081 | Ross William Anderson | Dentist | 8510 N Canton Center Rd, Canton, MI 48187-1310 | 2008-01-17 |
| 1407919129 | Frank F Omerza | Dentist | 4122 Whipple Ave Northwest, Canton, OH 44718 | 2006-12-18 |
| 1689755621 | Aaron Lundner | Dentist | 1957 West Tuscarawas, American Dental Centers, Canton, OH 44708 | 2006-10-18 |
| 1740394550 | Drs. Rossetti & Fanno, Inc. | Dentist | 4811 Munson St Nw, Canton, OH 44718-3614 | 2006-08-18 |
| 1053320622 | Riyad A Al-qawasmi | Dentist | 4227 Old Canton Center Rd, Canton, MI 48188 | 2006-08-05 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.