MARINA REZKALLA DMD
NPI 1225728512
Dentist - General Practice in Wautoma, WI

Active since May 10, 2023
400 S TOWNLINE RD, WAUTOMA, WI 54982(224) 535-0855 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, May 10, 2023 (2 updates tracked since 2023).

About Marina Rezkalla Dmd NPPES

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

MARINA REZKALLA DMD (NPI 1225728512) is an individual general practice provider in Wautoma, Wisconsin, licensed in Wisconsin (6001829-15) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1225728512
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARINA REZKALLACredential: DMD
Location Address400 S TOWNLINE RDWautoma, WI 54982-6922
Mailing Address400 S Townline RdWautoma, WI 54982-6922 · (224) 535-0855
Sole ProprietorNo
Enumeration DateMay 10, 2023
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1225728512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 6001829-15
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X
400 S TOWNLINE RD, Wautoma, WI 54982

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dental Hygienist
400 S TOWNLINE RD
WAUTOMA, WI 54982
Nurse Practitioner (Psychiatric/Mental Health)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Pharmacy
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dentist (General Practice)
400 S TOWNLINE RD
WAUTOMA, WI 54982
Dietitian, Registered
400 S TOWNLINE RD
WAUTOMA, WI 54982
Family Medicine
400 S TOWNLINE RD
WAUTOMA, WI 54982

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 Marina Rezkalla's NPI number?

The NPI number for Marina Rezkalla is 1225728512. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Marina Rezkalla located?

Marina Rezkalla practices at 400 S Townline Rd, Wautoma, WI 54982. The listed phone number is (224) 535-0855.

What is Marina Rezkalla's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Marina Rezkalla accept?

Health plans from Delta Dental of Wisconsin, Inc. and Humana list Marina Rezkalla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marina Rezkalla was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.