Provider Demographics
NPI:1003202490
Name:MARSHALL, LINDA CAROL (RDH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CAROL
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 PLEASANT ST, SUITE 202
Mailing Address - Street 2:SUMMIT DENTAL
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03304
Mailing Address - Country:US
Mailing Address - Phone:603-228-7878
Mailing Address - Fax:
Practice Address - Street 1:248 PLEASANT ST, SUITE 202
Practice Address - Street 2:SUMMIT DENTAL
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03304
Practice Address - Country:US
Practice Address - Phone:603-228-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH01152124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist