Provider Demographics
NPI:1649494535
Name:MARROW, EARL R III (DMD)
Entity type:Individual
Prefix:DR
First Name:EARL
Middle Name:R
Last Name:MARROW
Suffix:III
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 1:409 POND ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-6850
Mailing Address - Country:US
Mailing Address - Phone:781-843-7570
Mailing Address - Fax:781-843-3574
Practice Address - Street 1:409 POND ST
Practice Address - Street 2:SUITE 7
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-6850
Practice Address - Country:US
Practice Address - Phone:781-843-7570
Practice Address - Fax:781-843-3574
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA108311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice