Marcel Dental and Anesthesia Services, PPLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17823 Issued in TX

Legal business name

MARCEL DENTAL AND ANESTHESIA SERVICES, PPLC

Practice address

6100 Camp Bowie Blvd
Suite 22
Fort Worth, TX 76116-5528

Phone

(817) 264-7899

Fax

(682) 224-8559

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Perry Lee Marcel, D.D.O

Title

General Dentist/ Owner

Phone

(817) 264-7899

Specialties & licenses 1

Addresses

Other names 1

• Marcel DAS Doing business as

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1386933760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 CAMP BOWIE BLVD",
            "address_2": "SUITE 22",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165528",
            "telephone_number": "817-264-7899",
            "fax_number": "682-224-8559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 CAMP BOWIE BLVD",
            "address_2": "SUITE 22",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165528",
            "telephone_number": "817-264-7899",
            "fax_number": "682-224-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCEL DENTAL AND ANESTHESIA SERVICES, PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "MARCEL",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL DENTIST/ OWNER",
        "authorized_official_telephone_number": "817-264-7899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.O"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marcel DAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith A. Maples, M.D.
• Steven Edward Mapula, MD
• Arej E Maragan
• Mallory Nicole Maranto, CPNP
• Molly Maranto, MCD, CCC-SLP
• Joseph J Marcella, M.D.
• Michelle C Marcincuk, MD
• Kathryn Elizabeth Marcinowski, PA-C
• Nicholas Paul Marcopulos, O.D.
• Krysta Marcum

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.