Marley Park Dental Llc in Peoria - General Practice
Marley Park Dental Llc - NPI 1417121039
Marley Park Dental Llc is a General Practice in Peoria, Arizona. Marley Park Dental Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marley Park Dental Llc is 1417121039. The last update date is 2022-07-21.
Marley Park Dental Llc's current location address is 8466 W Peoria Ave, Peoria, Arizona. You can contact this provider via phone number 6234865566 and fax number 6238782871. The mailing address for Marley Park Dental Llc is 8466 W Peoria Ave, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marley Park Dental Llc |
|---|---|
| Address | 8466 W Peoria Ave, Peoria, Arizona |
| Phone Number | 6234865566 |
| Fax Number | 6238782871 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST/OW |
|---|---|
| Authorized Official Name | Maruska Erin |
| Credentials | DMD |
| Telephone Number | 6234865566 |
NPI Number Detail
| NPI Number | 1417121039 |
|---|---|
| Provider Enumeration Date | 2008-04-15 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 8466 W Peoria Ave |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853456548 |
| Phone Number | 6234865566 |
| Fax Number | 6238782871 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11565556 | AZ | CAQH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marley Park Dental Llc by the Centers for Medicare & Medicaid Services?
The Marley Park Dental Llc has been issued the NPI (National Provider Identifier) 1417121039 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Marley Park Dental Llc is physically located?
The Marley Park Dental Llc is situated at the following address: 8466 W Peoria Ave, Peoria, AZ 853456548.
What is the Marley Park Dental Llc's area of specialization and corresponding taxonomy classification?
The Marley Park Dental Llc's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Marley Park Dental Llc receive its 1417121039 assignment from the Centers for Medicare & Medicaid Services?
The Marley Park Dental Llc was assigned its 1417121039 by the Centers for Medicare & Medicaid Services on 2008-04-15.
When was the information regarding Marley Park Dental Llc most recently updated?
The details pertaining to the Marley Park Dental Llc, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.