Provider Demographics
NPI:1114135621
Name:MARSHALL, RONALD H (DMD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:H
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 ROUTE 27
Mailing Address - Street 2:SUITE 2700
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3997
Mailing Address - Country:US
Mailing Address - Phone:732-846-7701
Mailing Address - Fax:732-843-5758
Practice Address - Street 1:1527 ROUTE 27
Practice Address - Street 2:SUITE 2700
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3997
Practice Address - Country:US
Practice Address - Phone:732-846-7701
Practice Address - Fax:732-843-5758
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ11582122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist