MEDICARE: MRS. RITA R MARROGHI-JABRO DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	2901016756	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386714632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RITA R MARROGHI-JABRO DDS

Provider Business Mailing Address
First Line	:	683 W HURON ST
Second Line	:
City	:	PONTIAC
State	:	MI
Zip	:	48341-1522
Country	:	US
Telephone Number	:	248-335-1000
Fax Number	:	248-335-2544

Provider Business Practice Location Address
First Line	:	683 W HURON ST
Second Line	:
City	:	PONTIAC
State	:	MI
Zip	:	48341-1522
Country	:	US
Telephone Number	:	248-335-1000
Fax Number	:	248-335-2544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	02/05/2026

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