JACK M. MARINCEL, D.D.S., P.C.
NPI 1780797308
Clinic/Center - Dental in Saint Louis, MO
- 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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Location Map
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
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
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.