Marshall Dental Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS027736L Issued in PA

Legal business name

MARSHALL DENTAL ASSOCIATES LLC

Practice address

610 W. Marshall Street
Norristown, PA 19401

Phone

(484) 704-7675

Fax

(484) 704-7697

NPI assigned

Oct 20, 2013

Organization subpart

No

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

Authorized official

Name

Scott Shalit, DMD

Title

Owner

Phone

(484) 704-7675

Specialties & licenses 1

Addresses

Other names 1

• Smile Concepts Doing business as

Locations

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

{
    "created_epoch": "1382227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453420800000",
    "number": "1487082939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W. MARSHALL STREET",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "484-704-7675",
            "fax_number": "484-704-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W. MARSHALL STREET",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "484-704-7675",
            "fax_number": "484-704-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-20",
        "last_updated": "2016-01-22",
        "status": "A",
        "authorized_official_last_name": "SHALIT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-704-7675",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027736L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Joseph Marcucci I, PTA
• Frank A Margiotti, DC
• Nora Marta Margolis, M.D.
• Theodros Mariam, PA
• Markley Operator, LLC
• Ada Bertha Martin, PHARM D
• Joshua S Martin, D.O.
• Danielle Angelica Martorella, RN
• Yogesh Maru, M.D.
• Michael Louis Mascari, PTA

• General Practice Dentistry in Norristown, PA
• Providers in Norristown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.