Provider Demographics
NPI:1730480195
Name:MARQUES, NELSON ROBERT (DDS)
Entity Type:Individual
Prefix:
First Name:NELSON
Middle Name:ROBERT
Last Name:MARQUES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 RICH DR
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-7867
Mailing Address - Country:US
Mailing Address - Phone:954-709-2827
Mailing Address - Fax:
Practice Address - Street 1:744 RICH DR
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-7867
Practice Address - Country:US
Practice Address - Phone:954-709-2827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12020122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist