Dr. Edward A Marcus, D.D.S.
Dentist, Periodontics in Yardley, PA. Individual provider (NPI-1).
NPI number1417001082
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1417001082
- Entity type
- Individual (NPI-1)
- Name
- Dr. Edward A Marcus
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | DS018304L | PA | Yes |
Practice location
712 Floral Vale BlvdYardley, PA 19067-5529
Phone 215-860-4700 · Fax 215-860-3707
Mailing address
712 Floral Vale BlvdYardley, PA 19067-5529
Phone 215-860-4700 · Fax 215-860-3707
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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