Individual provider Active NPI

Marvin Eugene Poland, D.D.S.

  • General Practice Dentistry
  • Oxford, AL
National Provider Identifier
1831284660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
AL LNO 4193 Issued in AL
Practice address
420 Snow Street
Oxford, AL 36203
Phone
(256) 831-3432
Fax
(256) 835-3439
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AL LNO 4193 AL Primary

Addresses

Primary practice location

420 Snow Street
Oxford, AL 36203

Mailing address

420 Snow Street
Oxford, AL 36203
Phone (256) 831-3432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL LNO 4193ALMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Whitman Welch DMD PC Past Accepting new patients
Donald D. King, D.M.D., P.C. General Practice Past 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831284660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SNOW STREET",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "36203",
            "telephone_number": "256-831-3432",
            "fax_number": "256-835-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SNOW STREET",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "36203",
            "telephone_number": "256-831-3432",
            "fax_number": "256-835-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAND",
        "first_name": "MARVIN",
        "middle_name": "EUGENE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "AL LNO 4193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, AL

Sources for this page

Verify at the official NPI Registry.