NPIMap

Organization Active NPI

Marion Dental Associates Sandu LLC

Doing business as Marion Dental Associates

  • Dental Clinic/Center
  • Marion, OH
National Provider Identifier
1861991267
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARION DENTAL ASSOCIATES SANDU LLC
Doing business as
Marion Dental Associates
Practice address
1241 E Center St
Marion, OH 43302-4446
Phone
(740) 387-4804
NPI assigned
Feb 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Opal F Anderson
Title
Regional Operations Manager
Phone
(740) 387-4804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1241 E Center St
Marion, OH 43302-4446

Mailing address

1241 E Center St
Marion, OH 43302-4446

Other names 1

  • Marion Dental Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@mariondentalcenter.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1861991267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 E CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433024446",
            "telephone_number": "740-387-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION DENTAL ASSOCIATES SANDU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "OPAL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS MANAGER",
        "authorized_official_telephone_number": "740-387-4804"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@mariondentalcenter.com",
            "affiliation": "N",
            "address_1": "1241 E Center St",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433024446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Marion Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.