Organization Active NPI

Jeannette Dental Center Inc.

  • Dental Clinic/Center
  • Jeannette, PA
National Provider Identifier
1104995646
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS023747L Issued in PA
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

Updated by the provider on Feb 8, 2013

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

Authorized official

Name
Dr. Dennis Paul Marcelli, DDSNPI 1336553544
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
435247OtherPAUCCI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.