Marwan Al, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARWAN AL, PLLC

Practice address

200 Beauchamp Ste 104
Princeton, TX 75407-9156

Phone

(972) 736-6226

Fax

(972) 736-8443

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

Jillian Openshaw

Title

Credentialing Manager

Phone

(385) 239-9254

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1821779786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 AUTUMN SAGE DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781285",
            "telephone_number": "385-239-9254",
            "fax_number": "682-626-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BEAUCHAMP STE 104",
            "city": "PRINCETON",
            "state": "TX",
            "postal_code": "754079156",
            "telephone_number": "972-736-6226",
            "fax_number": "972-736-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWAN AL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "OPENSHAW",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "385-239-9254"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Princeton, TX
• Providers in Princeton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.