Provider Demographics
NPI:1255521084
Name:MARSHALL, DAVID TROUT (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TROUT
Last Name:MARSHALL
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 1:250 W BRAMBLETON AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1505
Mailing Address - Country:US
Mailing Address - Phone:757-489-4221
Mailing Address - Fax:757-423-5930
Practice Address - Street 1:250 W BRAMBLETON AVE STE 203
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1505
Practice Address - Country:US
Practice Address - Phone:757-489-4221
Practice Address - Fax:757-423-5930
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA7417122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist