Provider Demographics
NPI:1497139430
Name:DR. MARNENI PLLC
Entity Type:Organization
Organization Name:DR. MARNENI PLLC
Other - Org Name:ROWLETT FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRMALA JYOTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARNENI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:214-799-2233
Mailing Address - Street 1:7200 LAKEVIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4205
Mailing Address - Country:US
Mailing Address - Phone:972-475-3429
Mailing Address - Fax:
Practice Address - Street 1:7200 LAKEVIEW PKWY
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-4205
Practice Address - Country:US
Practice Address - Phone:972-475-3429
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-18
Last Update Date:2015-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty