Provider Demographics
NPI:1124267000
Name:MARLIND STILES PLC
Entity type:Organization
Organization Name:MARLIND STILES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLIND
Authorized Official - Middle Name:
Authorized Official - Last Name:STILES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-491-0739
Mailing Address - Street 1:9772 W YEARLING RD
Mailing Address - Street 2:STE # A1600
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1380
Mailing Address - Country:US
Mailing Address - Phone:480-491-0739
Mailing Address - Fax:480-777-1345
Practice Address - Street 1:9772 W YEARLING RD
Practice Address - Street 2:STE # A1600
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1380
Practice Address - Country:US
Practice Address - Phone:480-491-0739
Practice Address - Fax:480-777-1345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-17
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD6957122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ129129OtherMEDICARE PTAN
AZ6379340001Medicare NSC