Provider Demographics
NPI:1841425394
Name:MARSHALL, JESSICA MORRAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MORRAN
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13747 SABLEGARDEN LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2030
Mailing Address - Country:US
Mailing Address - Phone:281-935-8668
Mailing Address - Fax:
Practice Address - Street 1:12700 N FEATHERWOOD DR STE 293
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4439
Practice Address - Country:US
Practice Address - Phone:281-935-8668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0399821223G0001X
TX258831223G0001X, 1223P0221X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice