Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marvin Vallejo

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1083078554

Marvin Vallejo is an Oral and Maxillofacial Surgery (Dentist) in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2016.

Licensed in
MN
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 68180 (MN)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence D13719 (MN)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 29838 (MN)

Record details

NPI number1083078554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address200 1st St Sw, Rochester, MN 55905-0001

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