Organization Active NPI

Marsh Lane Dental PA

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1083948954
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20467 Issued in TX
Legal business name
MARSH LANE DENTAL PA
Practice address
10020 Marsh LN
Dallas, TX 75229-6081
Phone
(817) 577-9200
Fax
(817) 281-9231
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Esmeralda Morales
Title
Office Manager
Phone
(817) 577-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20467 TX Primary

Addresses

Primary practice location

10020 Marsh LN
Dallas, TX 75229-6081

Mailing address

1801 Precinct Line Rd
Suite a
Hurst, TX 76054-3170
Phone (817) 577-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1083948954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PRECINCT LINE RD",
            "address_2": "SUITE A",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543170",
            "telephone_number": "817-577-9200",
            "fax_number": "817-281-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 MARSH LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752296081",
            "telephone_number": "817-577-9200",
            "fax_number": "817-281-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH LANE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ESMERALDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-577-9200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.