Active NPI
Marsh Lane Dental PA
- Dental Clinic/Center
- Dallas, TX
National Provider Identifier
1083948954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 20467
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.