JACK M. MARINCEL, D.D.S., P.C.
NPI 1780797308
Clinic/Center - Dental in Saint Louis, MO

Active since August 16, 2006
6060 TELEGRAPH RD, SUITE H, SAINT LOUIS, MO 63129(314) 846-1480 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About JACK M. MARINCEL, D.D.S., P.C.

This page provides the complete NPI Profile along with additional information for Jack M. Marincel, D.d.s., P.c., a provider established in Saint Louis, Missouri operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1780797308 assigned on August 2006. The practitioner's primary taxonomy code is 261QD0000X with license number 13331 (MO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. John Michael Marincel D.d.s. (President)

NPI
1780797308 Verify this NPI
Provider Name
JACK M. MARINCEL, D.D.S., P.C.
Entity Type
Organization
Location Address
6060 TELEGRAPH RD SUITE H SAINT LOUIS, MO 63129
Location Phone
(314) 846-1480
Mailing Address
6060 TELEGRAPH RD SUITE H SAINT LOUIS, MO 63129
Mailing Phone
(314) 846-1480
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
13331
License State
MO

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOHN MICHAEL MARINCEL D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(314) 846-1480

Reviews for JACK M. MARINCEL, D.D.S., P.C.

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Chiropractor
6060 TELEGRAPH RD, SUITE A
SAINT LOUIS, MO 63129
Clinic/Center (Health Service)
6060 TELEGRAPH RD, SUITE A
SAINT LOUIS, MO 63129
Nutritionist
6060 TELEGRAPH RD
SAINT LOUIS, MO 63129
Nutritionist
6060 TELEGRAPH RD
SAINT LOUIS, MO 63129

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780797308, enumerated as an "organization" on August 16, 2006.

The provider is located at 6060 TELEGRAPH RD SUITE H SAINT LOUIS, MO 63129 and the phone number is (314) 846-1480.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.