Provider Demographics
NPI:1376753293
Name:DONALD F. MARSHALL D.D.S. P.C.
Entity Type:Organization
Organization Name:DONALD F. MARSHALL D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-435-7358
Mailing Address - Street 1:2874 KING ST SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-3506
Mailing Address - Country:US
Mailing Address - Phone:770-435-7358
Mailing Address - Fax:770-435-1020
Practice Address - Street 1:2874 KING ST SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-3506
Practice Address - Country:US
Practice Address - Phone:770-435-7358
Practice Address - Fax:770-435-1020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty