Provider Demographics
NPI:1356345102
Name:MARQUIS, GEORGE ALBERTO (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:ALBERTO
Last Name:MARQUIS
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 1:6037 N FRY RD
Mailing Address - Street 2:STE 162
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-1804
Mailing Address - Country:US
Mailing Address - Phone:281-656-2200
Mailing Address - Fax:281-656-2246
Practice Address - Street 1:6037 N FRY RD
Practice Address - Street 2:STE 162
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-1804
Practice Address - Country:US
Practice Address - Phone:281-656-2200
Practice Address - Fax:281-656-2246
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-09
Last Update Date:2007-07-08
Deactivation Date:2006-03-20
Deactivation Code:
Reactivation Date:2006-04-17
Provider Licenses
StateLicense IDTaxonomies
TX170981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice