Organization Active NPI

Marquis Dental LLC

Doing business as Villanova Dental Group

  • Dental Clinic/Center
  • Villanova, PA
National Provider Identifier
1912526658
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARQUIS DENTAL LLC
Doing business as
Villanova Dental Group
Practice address
600 Newtown Rd
Villanova, PA 19085-1135
Phone
(610) 520-0200
NPI assigned
Apr 13, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Dr. Brijesh Patel, DDSNPI 1316461452
Title
Owner
Phone
(610) 520-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

600 Newtown Rd
Villanova, PA 19085-1135

Mailing address

600 Newtown Rd
Villanova, PA 19085-1135
Phone (610) 520-0200

Other names 1

  • Villanova Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

600 Newtown Rd
Villanova, PA 19085
Phone (610) 520-0200

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": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1912526658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NEWTOWN RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851135",
            "telephone_number": "610-520-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NEWTOWN RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851135",
            "telephone_number": "610-520-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUIS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "BRIJESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-520-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villanova Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Villanova, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.