Provider Demographics
NPI:1821782327
Name:ACRIS, MARCEL (DDS)
Entity type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:ACRIS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 INDIAN LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6267
Mailing Address - Country:US
Mailing Address - Phone:615-431-3126
Mailing Address - Fax:
Practice Address - Street 1:7768 OZARK DR STE 200
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-5891
Practice Address - Country:US
Practice Address - Phone:904-442-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-07
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN28115122300000X
IN12014088A1223G0001X
TN12359122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice