DR. PHILLIP T MARUCHA DMD
NPI 1093923658
Dentist in Chicago, IL

Q: What is Phillip Marucha's NPI number?

The NPI number for Phillip Marucha is 1093923658. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Q: What is Phillip Marucha's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Phillip Marucha was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 18, 2007

801 S PAULINA ST # MC859, CHICAGO, IL 60612(312) 413-4467(312) 996-0943 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Phillip T Marucha Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP T MARUCHA DMD (NPI 1093923658) is an individual dentist in Chicago, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093923658

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. PHILLIP T MARUCHACredential: DMD

Location Address801 S PAULINA ST # MC859Chicago, IL 60612-7210

Mailing Address801 S Paulina St # Mc859Chicago, IL 60612-7210 · (312) 413-4467 · Fax (312) 996-0943

Phone(312) 413-4467

Fax(312) 996-0943

Sole ProprietorNo

Enumeration DateMay 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093923658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

801 S PAULINA ST # MC859, Chicago, IL 60612

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Marucha's NPI number?

The NPI number for Phillip Marucha is 1093923658. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Phillip Marucha located?

Phillip Marucha practices at 801 S Paulina St # Mc859, Chicago, IL 60612. The listed phone number is (312) 413-4467.

What is Phillip Marucha's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Phillip Marucha was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.