Marybeth Marcincin, D.M.D, M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS026773L Issued in PA

Practice address

1414 Millard St
Bethlehem, PA 18018-2632

Phone

(610) 691-1461

Fax

(610) 691-4184

NPI assigned

Aug 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093724775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MILLARD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182632",
            "telephone_number": "610-691-1461",
            "fax_number": "610-691-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MILLARD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180182632",
            "telephone_number": "610-691-1461",
            "fax_number": "610-691-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINCIN",
        "first_name": "MARYBETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS026773L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "23-2710202",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "DS026773L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jake Marais, M.D.
• Pamela Marakovits, OT
• Sandra Marcellus
• Emily A Marchetti
• Marcincin Family Dental
• Paul Gerard Marcincin, M.D.
• Robert P Marcincin, M.D.
• Terrence L. Marcincin, D.M.D.
• Suzanne A Marcinko Jackson, NP
• Andrea Marcolla

• Orthodontics and Dentofacial Orthopedics Dentistry in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.