Active NPI
Jeannette Dental Center Inc.
- Dental Clinic/Center
- Jeannette, PA
National Provider Identifier
1104995646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DS023747L
- Legal business name
- JEANNETTE DENTAL CENTER INC.
- Practice address
- 500 Harrison Ave
Jeannette, PA 15644-1915 - Phone
- (724) 523-5551
- Fax
- (724) 523-4738
- NPI assigned
- Nov 7, 2006
- 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
- Dr. Dennis Paul Marcelli, DDS
- Title
- President
- Phone
- (724) 523-5551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DS023747L | PA | Primary |
Addresses
Primary practice location
500 Harrison Ave
Jeannette, PA 15644-1915
Mailing address
500 Harrison Ave
Jeannette, PA 15644-1915
Phone (724) 523-5551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 435247 | Other | PA | UCCI |
National Provider Directory
National Provider DirectoryLocations
500 Harrison Ave
Jeannette, PA 15644
Phone (724) 523-5551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Jeannette, PA
- NPI 1336553544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360281600000",
"number": "1104995646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HARRISON AVE",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156441915",
"telephone_number": "724-523-5551",
"fax_number": "724-523-4738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HARRISON AVE",
"city": "JEANNETTE",
"state": "PA",
"postal_code": "156441915",
"telephone_number": "724-523-5551",
"fax_number": "724-523-4738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANNETTE DENTAL CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2013-02-08",
"status": "A",
"authorized_official_last_name": "MARCELLI",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-523-5551",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PA",
"license": "DS023747L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI",
"identifier": "435247",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jeannette, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.