Lorenzo Daniel Marcil, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DR61192695 Issued in WA

Practice address

259 Yale Ave N
Seattle, WA 98109-5430

Phone

(206) 829-8565

NPI assigned

May 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Revive Smiles Dentistry, LLC

  • Dental Clinic/Center
  • Seattle, WA
  • NPI 1184135881
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1215501622",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "80 EDGEVALLEY PL NW",
            "city": "CALGARY",
            "state": "ALBERTA",
            "postal_code": "T3A 4Z1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 YALE AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095430",
            "telephone_number": "206-829-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIL",
        "first_name": "LORENZO",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DR61192695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marchese
• Emily Marchiano, MD
• Felix Marcial, D.D.S.
• Dijana Marcic, DPT
• Kathleen Marcil
• Monika Marcinkevicius, DO
• Sara Marckx Russell
• Marissa L Marcotte, MD
• Susan Marcotte
• Bianca Marcu, PA-C

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.