Provider Demographics
NPI:1932472982
Name:MARSHALL J NEY PSC
Entity Type:Organization
Organization Name:MARSHALL J NEY PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:859-623-3761
Mailing Address - Street 1:527 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1880
Mailing Address - Country:US
Mailing Address - Phone:859-623-3761
Mailing Address - Fax:859-623-0050
Practice Address - Street 1:527 W MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1880
Practice Address - Country:US
Practice Address - Phone:859-623-3761
Practice Address - Fax:859-623-0050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty