Marbella Dental Studios, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARBELLA DENTAL STUDIOS, LLC

Practice address

4845 E Thunderbird Rd
Scottsdale, AZ 85254-3556

Phone

(602) 996-1660

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

John Lundgreen

Title

Member

Phone

(480) 295-9234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1063056745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7205 E SOUTHERN AVE STE A-122",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 E THUNDERBIRD RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543556",
            "telephone_number": "602-996-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBELLA DENTAL STUDIOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "LUNDGREEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-295-9234"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maple Leaf PC
• Jacob Emanuel Mapp, MD
• Valerie Marbach, MED PLC
• Marbella Dental Consultants LLC
• Marbella Dental Studio
• Marc Weissman DC PLC
• Brittney Lee March, BA
• Virginia Marie March
• Lauren Marchal, MAS, LAMFT
• Carol Serena Marciano, CRNFA

• Dental Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.