Provider Demographics
NPI:1578583548
Name:MARSH, ERIC JAMES (DMD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:JAMES
Last Name:MARSH
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 1:3055 COLLEGE HEIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4800
Mailing Address - Country:US
Mailing Address - Phone:610-432-8037
Mailing Address - Fax:610-432-7032
Practice Address - Street 1:3055 COLLEGE HEIGHTS BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4800
Practice Address - Country:US
Practice Address - Phone:610-432-8037
Practice Address - Fax:610-432-7032
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026420-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice