Individual provider Active NPI

Marc L Marlette, D.M.D.

  • General Practice Dentistry
  • Florence, KY
National Provider Identifier
1669486247
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7299 Issued in KY
Practice address
7303 US Highway 42
Florence, KY 41042-1903
Phone
(859) 283-0033
Fax
(859) 283-0036
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7299 KY Primary

Addresses

Primary practice location

7303 US Highway 42
Florence, KY 41042-1903

Mailing address

7303 US Highway 42
Florence, KY 41042-1903
Phone (859) 283-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160322001513 KY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6406097757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Professionals of Kentucky, P.S.C. General Practice Past Accepting new patients
Dental Sleep Medicine of Northern Kentucky, PLLC PastSince Apr 1, 2013 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1669486247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 US HIGHWAY 42",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421903",
            "telephone_number": "859-283-0033",
            "fax_number": "859-283-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 US HIGHWAY 42",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421903",
            "telephone_number": "859-283-0033",
            "fax_number": "859-283-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLETTE",
        "first_name": "MARC",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

Verify at the official NPI Registry.