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KEVIN MARZOLF DDS
NPI 1255029997
Dentist in Detroit, MI

Active since May 01, 2023PECOS Enrolled
22201 MOROSS RD STE 155, DETROIT, MI 48236(313) 499-4775(313) 499-4953 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2025, Jul 15, 2024, Jul 25, 2023 and 1 more (4 updates tracked since 2023).

About Kevin Marzolf Dds NPPES

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

KEVIN MARZOLF DDS (NPI 1255029997) is an individual dentist in Detroit, Michigan, licensed in Michigan (2901601807) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255029997
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN MARZOLFCredential: DDS
Location Address22201 MOROSS RD STE 155Detroit, MI 48236-2152
Mailing Address22201 Moross Rd Ste 155Detroit, MI 48236-2152 · (313) 499-4775
Phone(313) 499-4775
Fax(313) 499-4953
Sole ProprietorYes
Enumeration DateMay 1, 2023
Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1255029997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901601807
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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
22201 MOROSS RD STE 155, Detroit, MI 48236
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, Delta Dental of Michigan, Guardian and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Marzolf Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DR. HYUNKYU PARK DMD
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
JONATTAN EDUARDO ANGULO-OCHOA DDS
Oral & Maxillofacial Surgery
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4929
PRESTON L FONG
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
DR. DAVID LOUIS SZANDZIK D.D.S.
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775
DR. RICHARD MICHAEL BENIAN D.D.S
Dentist (Oral and Maxillofacial Surgery)
22201 MOROSS RD STE 155
DETROIT, MI 48236
Wayne County (313) 499-4775

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 Kevin Marzolf's NPI number?

The NPI number for Kevin Marzolf is 1255029997. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Kevin Marzolf located?

Kevin Marzolf practices at 22201 Moross Rd Ste 155, Detroit, MI 48236. The listed phone number is (313) 499-4775.

What is Kevin Marzolf's specialty?

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

Is Kevin Marzolf enrolled in Medicare?

Yes. Kevin Marzolf is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Marzolf accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Delta Dental of Michigan, Guardian, HRI Dental & Vision and Humana and 2 other insurers list Kevin Marzolf 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 Kevin Marzolf was last updated on August 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.