DR. MARLENE IMELDA OVIEDO-MARMO (NPI# 1073789582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073789582 |
| Entity Type | Individual |
| Full Name | DR. MARLENE IMELDA OVIEDO-MARMO |
| Practice Address |
30 Jackson Rd Ste C2 Medford NJ 08055-9281 |
| Practice Telephone | 6096542772 |
| Mailing Telephone | 6096542772 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
22DI 02136700 | NJ | Dental Providers |
| Street Address |
30 JACKSON RD STE C2 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-9281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1780974477 | Medford Endodontics, LLC | Dentist | Zero Governors Avenue, Suite 30, Medford, MA 02155-3006 | 2011-04-14 |
| 1700197134 | Erik Brian Gonzalez | Dentist | 21 Scotch Pine Dr, Medford, NY 11763-4220 | 2010-06-30 |
| 1629300272 | Henry Lucien Harbert | Dentist | 691 Murphy Rd., Ste 204, Medford, OR 97504 | 2010-02-08 |
| 1043470479 | Matt Gebhardt | Dentist | 831 Alder Creek Dr, Medford, OR 97504-8900 | 2008-06-10 |
| 1932197019 | Gerald B. Leiber | Dentist | 0 Governors Ave, Suite 30, Medford, MA 02155-3025 | 2005-10-12 |
| 1194722892 | Michael Curtis Hall | Dentist | 2952 Lazy Creek Dr, Medford, OR 97504-8182 | 2005-07-07 |
| 1396983169 | Cary James Cunningham | Dentist | 2924 Siskiyou Blvd, Suite 204, Medford, OR 97504-8194 | 2009-01-31 |
| 1548436009 | Carl Lewis Tinkelman | Dentist | 30 Jackson Rd, Suite C-2, Medford, NJ 08055-9283 | 2008-05-05 |
| 1528272721 | Gerald B. Leiber, D.m.d., P.C. | Dentist | 0 Governors Ave, Suite 30, Medford, MA 02155-3025 | 2007-05-09 |
| Find all providers in MEDFORD | ||||
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| 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.