Marlon Hanley, DDS, a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

6656 Issued in LA

Legal business name

MARLON HANLEY, DDS, A PROFESSIONAL DENTAL CORPORATION

Practice address

1539 Martin Luther King Jr Blvd Ste 112
Houma, LA 70360-2442

Phone

(985) 868-9343

NPI assigned

Oct 5, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marlon Hanley, DDS

Title

Practice Owner

Phone

(985) 868-9343

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1043760804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 MARTIN LUTHER KING JR BLVD STE 112",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602442",
            "telephone_number": "985-868-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1539 MARTIN LUTHER KING JR BLVD STE 112",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602442",
            "telephone_number": "985-868-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLON HANLEY, DDS, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "MARLON",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "985-868-9343",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "6656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelin Marcel, INTAKE COORDINATOR
• Monika Marcel, M.A., CCC-A
• Pamela D Marcel, LPC, LMFT
• Rebecca Marcel, M.A. SLP
• March Willows
• Celeste Shavon Mart, PHARMD
• Brian David Martin, CFA
• Brookelle Martin, FNP-C
• Hunter Martin
• Latory Martin

• Dentist in Houma, LA
• Providers in Houma, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.