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GRAND PRAIRIE MARVEL DENTAL PLLC
NPI 1629586797
Clinic/Center - Dental in Grand Prairie, TX

Active since January 11, 2018
5020 S HWY 360, SUITE 200, GRAND PRAIRIE, TX 75052(817) 933-3883 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Grand Prairie Marvel Dental Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND PRAIRIE MARVEL DENTAL PLLC (NPI 1629586797) is a healthcare organization registered as a dental in Grand Prairie, Texas and active in the NPI registry since January 2018. The organization lists Jay Oza, Dentist, as its authorized official.

NPPES Registry Identity

NPI1629586797
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGRAND PRAIRIE MARVEL DENTAL PLLC
Location Address5020 S HWY 360, SUITE 200Grand Prairie, TX 75052
Mailing Address2401 Cabrillo LnMansfield, TX 76063-4117
Phone(817) 933-3883
Organization SubpartNo
Authorized OfficialJay OzaDentist · (201) 744-0760
Enumeration DateJanuary 11, 2018
✔ NPI 1629586797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5020 S HWY 360, Grand Prairie, TX 75052
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Other Identifiers 1

Medicaid28081TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grand Prairie Marvel Dental PLLC's NPI number?

The NPI number for Grand Prairie Marvel Dental PLLC is 1629586797. It was assigned to this organization in the NPPES registry on January 11, 2018.

Where is Grand Prairie Marvel Dental PLLC located?

Grand Prairie Marvel Dental PLLC is located at 5020 S Hwy 360 Suite 200, Grand Prairie, TX 75052. The listed phone number is (817) 933-3883.

What is Grand Prairie Marvel Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Grand Prairie Marvel Dental PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Grand Prairie Marvel Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grand Prairie Marvel Dental PLLC was last updated on January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.