Roger Louis Marcellin, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5999 Issued in VA

Practice address

11351 Random Hills Rd Ste 290
Fairfax, VA 22030-6081

Phone

(703) 293-9100

NPI assigned

Aug 11, 2007

Last updated

Aug 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Roger Marcellin D.D.S. P.C.

  • Dentist
  • Fairfax, VA
  • NPI 1700078912
  NPD (past) Authorized official
• Smiles 4 Fairfax, PLC

  • General Practice Dentistry
  • Fairfax, VA
  • NPI 1942660873
  NPD (past)

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1437341641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD STE 290",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "703-293-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11351 RANDOM HILLS RD STE 290",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306081",
            "telephone_number": "703-293-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLIN",
        "first_name": "ROGER",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "5999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronica A Marable, PHD
• Alhaji Marah
• Khadijah Maraheel, PHARMACIST, PHARMD
• Leslie A Maralit, DPT
• Donald Peter Marazzo, MD
• Mary Marchetti
• Marci Smith, LCSW LLC
• Christina Marcone, LCSW
• Denise Marcone
• Jared Michael Marcotte, LHAS-VA

• General Practice Dentistry in Fairfax, VA
• Providers in Fairfax, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.