Marvel Dental DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARVEL DENTAL DDS PC

Practice address

6408 W Jefferson Blvd Ste D
Fort Wayne, IN 46804-6204

Phone

(216) 801-2718

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Bhavneet SinghNPI 1619351772

Title

Dentist

Phone

(260) 666-5100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Bhavneet Singh

  • Dentist
  • Fort Wayne, IN
  • NPI 1619351772
  NPD Authorized official
• Virajitha Velichala

  • General Practice Dentistry
  • Huntington, IN
  • NPI 1801317573
  NPD

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1679229504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 PRATO CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451385",
            "telephone_number": "216-801-2718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6408 W JEFFERSON BLVD STE D",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046204",
            "telephone_number": "216-801-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4614 Coldwater Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468255527",
            "country_code": "US",
            "telephone_number": "216-801-2718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2880 Walmart Dr Unit 2920",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "IN",
            "postal_code": "467507977",
            "country_code": "US",
            "telephone_number": "260-200-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARVEL DENTAL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "BHAVNEET",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "260-666-5100"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cicely Martinez
• Manuel A Martinez, MD
• Samuel Martinez, RD
• Mercedys Martz
• Andrea Marushka, OTD, OTR/L
• John E Marx, MD
• Mary Alice Reed, MSW, LCSW, LLC
• Mary E Locke PHD HSPP LLC
• Mary Ellen Argus, DDS, PC
• Mary Lisa Barta LLC

• Dental Clinic/Center in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.