Marvill Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

29952 Issued in TX

Legal business name

MARVILL DENTAL, PLLC

Practice address

3613 Main St
Rowlett, TX 75088-5003

Phone

(972) 475-3995

Fax

(972) 463-4298

NPI assigned

May 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marcos F Villarreal, DDS

Title

Dentist/Owner

Phone

(972) 475-3995

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barry Leon Butler, D.D.S.

  • General Practice Dentistry
  • Rowlett, TX
  • NPI 1174680219
  NPD (past)

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1568953073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750300310",
            "telephone_number": "972-475-3995",
            "fax_number": "972-463-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 MAIN ST",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885003",
            "telephone_number": "972-475-3995",
            "fax_number": "972-463-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVILL DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "972-475-3995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "29952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306251756",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ken Martin, PHARMD
• Jaquelin Martinez Rivera
• Daniel Martinez
• Kristen N Martinez
• Marvel Home Health Care Inc
• Kwame Massally
• Annette F Mata, DDS, MPH
• Priya M Mathew, FNP-C
• Seema Mathew, NP
• Ashley Mathis, FNP

• Dental Clinic/Center in Rowlett, TX
• Providers in Rowlett, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.