Provider Demographics
NPI:1154858413
Name:EARNEST, MARSHAL DYLAN (DMD)
Entity Type:Individual
Prefix:
First Name:MARSHAL
Middle Name:DYLAN
Last Name:EARNEST
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 1:123 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2868
Mailing Address - Country:US
Mailing Address - Phone:828-252-4290
Mailing Address - Fax:828-333-5460
Practice Address - Street 1:130 FOREST GLEN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28722-3456
Practice Address - Country:US
Practice Address - Phone:828-722-0003
Practice Address - Fax:828-333-5460
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-17
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN230511223G0001X
NC116561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice