Faten KG Marcos, DDS
Individual provider Active NPI Dentist · Maywood, CA
NPI 1336200468 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1336200468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 42371 (CA)
- Practice address
- 4487 Slauson Ave
Maywood, CA 90270-2943 - Phone
- (323) 773-3094
- Fax
- (323) 773-6235
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- fkmarcos@direct.westerndental.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42371 | CA | Yes |
Addresses
Primary practice location
4487 Slauson Ave
Maywood, CA 90270-2943
Mailing address
3000 E 3Rd St
Long Beach, CA 90814-2505
Other providers in Maywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.