Provider Demographics
NPI:1912003351
Name:DEMPSEY, MARCUS A (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:A
Last Name:DEMPSEY
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 1:11108 TIFFANY CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475
Mailing Address - Country:US
Mailing Address - Phone:205-333-8647
Mailing Address - Fax:
Practice Address - Street 1:225 MCFARLAND BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35476-5300
Practice Address - Country:US
Practice Address - Phone:205-345-7040
Practice Address - Fax:205-345-4055
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL52431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice