Healthcare Provider Details

I. General information

NPI: 1306294343
Provider Name (Legal Business Name): MARCELL OROW DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19003 ECORSE RD
ALLEN PARK MI
48101-2257
US

IV. Provider business mailing address

19003 ECORSE RD
ALLEN PARK MI
48101-2257
US

V. Phone/Fax

Practice location:
  • Phone: 734-258-7440
  • Fax:
Mailing address:
  • Phone: 734-258-7440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901021874
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: