Provider Demographics
NPI:1245398346
Name:PLATER, MARSHA MYRNETTE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:MYRNETTE
Last Name:PLATER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2553 NORTH SOLOMONS ISLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639
Mailing Address - Country:US
Mailing Address - Phone:410-535-1990
Mailing Address - Fax:410-414-5438
Practice Address - Street 1:2553 NORTH SOLOMONS ISLAND ROAD
Practice Address - Street 2:
Practice Address - City:HUNTINGTOWN
Practice Address - State:MD
Practice Address - Zip Code:20639
Practice Address - Country:US
Practice Address - Phone:410-535-1990
Practice Address - Fax:410-414-5438
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD085871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice