Marcus L Paulus, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901017341 Issued in MI

Practice address

8292 E 12 Mile Rd
Warren, MI 48093-2737

Phone

(586) 393-1516

Fax

(586) 393-1518

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Morning Star Dental

  • General Practice Dentistry
  • Warren, MI
  • NPI 1760153563
  NPD Authorized official

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1073700852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3756",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480373756",
            "telephone_number": "586-393-1516",
            "fax_number": "586-393-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8292 E 12 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932737",
            "telephone_number": "586-393-1516",
            "fax_number": "586-393-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULUS",
        "first_name": "MARCUS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5140",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5387647",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Petre MD PC
• Paul Petre MD PC
• Abhilash Paul I
• David F Paul, O.D.
• Rabee Yousif Paul, M.D.
• Jessica Pavela
• Patricia Anne Pawlak, RPH
• Renee Y Paye, MD
• Mallory Anne Payne, DDS
• Wakene Payne

• Dentist in Warren, MI
• Providers in Warren, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.