Provider Demographics
NPI:1518534056
Name:MARMUR, INNA (DMD)
Entity Type:Individual
Prefix:DR
First Name:INNA
Middle Name:
Last Name:MARMUR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 GWYN LYNN DR
Mailing Address - Street 2:
Mailing Address - City:IVYLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5803
Mailing Address - Country:US
Mailing Address - Phone:917-349-0226
Mailing Address - Fax:
Practice Address - Street 1:2050 BUTLER PIKE STE 100
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1800
Practice Address - Country:US
Practice Address - Phone:610-828-8020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-04
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0431281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice