Provider Demographics
NPI:1831336049
Name:MARSHALL, WINSLETT, SCHAFFER, DDS, PLLC
Entity type:Organization
Organization Name:MARSHALL, WINSLETT, SCHAFFER, DDS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:SIKES
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-686-9802
Mailing Address - Street 1:7643 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9458
Mailing Address - Country:US
Mailing Address - Phone:910-686-9802
Mailing Address - Fax:910-686-1096
Practice Address - Street 1:7643 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9458
Practice Address - Country:US
Practice Address - Phone:910-686-9802
Practice Address - Fax:910-686-1096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1223G0001X1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty