Provider Demographics
NPI:1831930452
Name:NEY, MARSHALL SMITH JR (DDS)
Entity type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:SMITH
Last Name:NEY
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1616 BELLA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4009
Mailing Address - Country:US
Mailing Address - Phone:479-273-3306
Mailing Address - Fax:479-273-3835
Practice Address - Street 1:1616 BELLA VISTA RD
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4009
Practice Address - Country:US
Practice Address - Phone:479-273-3306
Practice Address - Fax:479-273-3835
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR47491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice