Provider Demographics
NPI:1538606272
Name:MARCUS, STANLEY M (DMD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:M
Last Name:MARCUS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:579 ALGER ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1043
Mailing Address - Country:US
Mailing Address - Phone:412-421-9400
Mailing Address - Fax:
Practice Address - Street 1:579 ALGER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15207-1043
Practice Address - Country:US
Practice Address - Phone:412-421-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021431L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice