Marple Dental, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-025838 L Issued in PA

Legal business name

MARPLE DENTAL, INC.

Practice address

2004 Sproul Rd
Ste 304
Broomall, PA 19008-3511

Phone

(610) 359-8181

Fax

(610) 359-8111

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Georges Martin, D.M.D.

Title

President

Phone

(610) 359-8181

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1962868802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "address_2": "STE 304",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083511",
            "telephone_number": "610-359-8181",
            "fax_number": "610-359-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 SPROUL RD",
            "address_2": "STE 304",
            "city": "BROOMALL",
            "state": "PA",
            "postal_code": "190083511",
            "telephone_number": "610-359-8181",
            "fax_number": "610-359-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARPLE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GEORGES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-359-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-025838 L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mandos, CRNP
• Victoria Alexis Manning, BEHAVIOR TECHNICIAN
• Aniyah Simone Maples
• Marc Belitsky D.C., .PC.
• Thomas Michael Marchese, PT ASSISTANT
• Marple Medical Associates
• Marple Township Ambulance Corp
• Eva Marie Martin, M.D.
• Jessica Martin, MPH RDN LDN
• Brian Mathew, PHARMD

• General Practice Dentistry in Broomall, PA
• Providers in Broomall, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; 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.