Marisol Andrea Gemma Seguel Roa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901601376 Issued in MI

Practice address

13874 Grand River Ave
Detroit, MI 48227-3123

Phone

(313) 651-7260

NPI assigned

Jun 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1073244513",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "285 JOLLY AVE",
            "city": "LASALLE",
            "state": "ONTARIO",
            "postal_code": "N9J 3T1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13874 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482273123",
            "telephone_number": "313-651-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGUEL ROA",
        "first_name": "MARISOL",
        "middle_name": "ANDREA GEMMA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901601376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seeme Outreach Ministry
• Antu Segal, PSYD
• Amanda Segan
• Sharmila Segar, MD
• Stefanie Darryl V Segovia, LMSW, LCSW
• Jill Anne Seguin, D.D.S.
• Conor Segur
• Lakshya Sehgal, M.D.
• Monica Sehgal, DO
• Swati Sehgal, MD

• General Practice Dentistry in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.