GRAND PRAIRIE MARVEL DENTAL PLLC (NPI# 1629586797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629586797 |
| Entity Type | Organization |
| Organization Name | GRAND PRAIRIE MARVEL DENTAL PLLC |
| Practice Address |
5020 S Hwy 360 Suite 200 Grand Prairie TX 75052 |
| Mailing Address |
2401 Cabrillo Ln Mansfield TX 76063-4117 |
| Practice Telephone | 8179333883 |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | JAY OZA (DENTIST) |
| Authorized Official Telephone | 2017440760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 28081 | 05 |
| Street Address |
5020 S HWY 360 SUITE 200 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487265542 | Beyond Home Health Care LLC | Registered Nurse | 3531 Pecos Way, Grand Prairie, TX 75052 | 2020-08-12 |
| 1497370332 | Michael Cooper | Dentist | 3154 South Hwy 161 Ste 640, Grand Prairie, TX 75052 | 2020-06-16 |
| 1043835788 | Amanda Azubike | Licensed Practical Nurse | 4593 Mt Laurel Dr, Grand Prairie, TX 75052 | 2020-06-09 |
| 1457992844 | Epic West Family Dnetistry Pllc | Dentist | 3166 Sh 161, Ste 190, Grand Prairie, TX 75052 | 2019-10-07 |
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1689136624 | Raushanah Taherrah Shareef-jefferson | Dental Hygienist | 831 Ridgecrest Rd, Grand Prairie, TX 75052 | 2019-04-01 |
| 1053812552 | Dfw Better Care Physicians, Pllc | Clinic/Center | 5204 Tx 360 #400, Grand Prairie, TX 75052 | 2018-02-21 |
| 1033626221 | Thad Taylor Iv Dds | Dentist | 3261 S. Carrier Pkwy., Grand Prairie, TX 75052 | 2018-01-09 |
| 1902312796 | Real Dental Pllc | Dentist | 1215 W. Pioneer Pkwy, Suite 130, Grand Prairie, TX 75052 | 2017-12-16 |
| 1154835155 | Better Group Home Incorporated | Community/Behavioral Health | 5436 Montague Lane, Grand Prairie, TX 75052 | 2017-11-29 |
| Find all providers in zip 75052 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309094 | The Smile Lounge Pllc | Clinic/Center | 3050 W Camp Wisdom Rd # 140, Grand Prairie, TX 75052-4642 | 2020-06-02 |
| 1689298259 | Adore Dental P.a | Clinic/Center | 2510 Bardin Rd Ste 800, Grand Prairie, TX 75052-3838 | 2020-05-29 |
| 1932754520 | Great Southwest Family Dental Pa | Clinic/Center | 2308 Bardin Rd Ste 100, Grand Prairie, TX 75052-3857 | 2019-08-09 |
| 1336628890 | Next Level Dental Management, P.C. | Clinic/Center | 2580 W Camp Wisdom Rd Ste 300, Grand Prairie, TX 75052-3091 | 2018-08-07 |
| 1841647799 | Mint Dentistry, Pllc | Clinic/Center | 3710 S Carrier Pkwy Ste 100, Grand Prairie, TX 75052-6670 | 2016-05-20 |
| 1619963485 | Dental Health Programs, Inc. | Clinic/Center | 801 Conover Drive, Grand Prairie, TX 75051-1519 | 2005-09-27 |
| 1063019081 | Pgp Pllc | Clinic/Center | 2580 W Camp Wisdom Rd Ste 300, Grand Prairie, TX 75052-3091 | 2020-10-02 |
| 1609406495 | Vkr Patel Pllc | Clinic/Center | 355 E Westchester Pkwy Ste 200, Grand Prairie, TX 75052-2846 | 2020-01-21 |
| 1003280371 | Loyal Family Dentistry | Clinic/Center | 1021 Sw 3rd St, Grand Prairie, TX 75051-3070 | 2015-11-23 |
| 1053573220 | Brigitte E. Robinson, D.d.s., P.C. | Clinic/Center | 2426 S Carrier Pkwy, Suite 100, Grand Prairie, TX 75051-3805 | 2008-06-30 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
Please comment or provide details below to improve the information on GRAND PRAIRIE MARVEL DENTAL PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.