Provider Demographics
NPI:1407055478
Name:G'SELL, MARIE CORINNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:CORINNE
Last Name:G'SELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIE
Other - Middle Name:CORINNE
Other - Last Name:HALBUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:830 MAXWELL DR
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-3296
Mailing Address - Country:US
Mailing Address - Phone:712-775-2198
Mailing Address - Fax:
Practice Address - Street 1:1406 N US HIGHWAY 71
Practice Address - Street 2:BOX 97
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3344
Practice Address - Country:US
Practice Address - Phone:712-792-2528
Practice Address - Fax:712-792-5547
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA84491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice