Espe, Marty J

Espe, Marty J is an individual health care provider with primary practice located at 3617 W Arrowhead Rd , Duluth MN 55811-4046. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Espe, Marty J can be contacted via phone (218) 722-8377.

Contact Information

Primary practice address
3617 W Arrowhead Rd Duluth MN 55811-4046
Phone: (218) 722-8377
Fax: (218) 722-3117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 11100 Minnesota
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 5006 Wisconsin
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 40391 Minnesota

Profile Details

NPI number 1760532139
LBN Legal business name Espe, Marty J
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Dec 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760532139 NPPES
Wisconsin Other 33751200 WISCONSIN MEDICAID
Wisconsin Other 49Q57ES WISCONSIN MEDICAID
Wisconsin MEDICAID 749215400 WISCONSIN MEDICAID

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