Marcel Joseph Daneault Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21432 Issued in OH

Practice address

1338 Rosehill Rd
Reynoldsburg, OH 43068-2467

Phone

(614) 751-9306

NPI assigned

Sep 25, 2007

Last updated

Sep 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Rosehill Dental Center - M. Daneault Jr DDS LLC

  • Dentist
  • Reynoldsburg, OH
  • NPI 1275627242
  NPD (past) Authorized official

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1851588677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "address_2": "1338 ROSEHILL RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430680240",
            "telephone_number": "614-751-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1338 ROSEHILL RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682467",
            "telephone_number": "614-751-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANEAULT",
        "first_name": "MARCEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Cutting, BSN, RN
• Cynthia J. Premeaux, O.D., LLC (Premier Vision)
• D & a Legacy Transportation LLC
• D & G Partners (Lifeline Pharmacy)
• Sydney Dale
• Samuel Dang
• Pabitra Dangal
• Daniel Saale, D.D.S., Inc.
• Daniel T Haley D P M Inc
• David Dalton Daniel, D.M.D.

• General Practice Dentistry in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.