Active NPIIndividual provider

Blaire L Marshall, DDS

Dentist in Mansfield, Massachusetts

NPI Number1184989782
Practice location
Mansfield Modern Dentistry, 287 School St Ste 120, Mansfield, MA 02048-0204
Fax
—
Last updated
January 9, 2020

Blaire L Marshall is a Dentist based in Mansfield, MA. Blaire L Marshall practices in Mansfield, MA and has the professional credentials of DDS. The NPI Number for Blaire L Marshall is 1184989782 and holds a License No. DN1858554 (MA). The current practice location address for Blaire L Marshall is Mansfield Modern Dentistry, 287 School St Ste 120, Mansfield, MA 02048-0204 and can be reached out via phone at 918-640-8209.

Provider Profile Details

NPI Number
1184989782
Provider Name
Blaire L Marshall
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
Mansfield Modern Dentistry, 287 School St Ste 120, Mansfield, MA 02048-0204
Phone Number
918-640-8209
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2012
Last Update Date
January 9, 2020
Certification Date
January 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Mansfield Modern Dentistry
287 School St Ste 120
Mansfield, MA 02048-0204
Zip
02048-0204
Phone Number
918-640-8209
Mansfield, MA 02048Get directions →

Provider Business Mailing Address Details

Address
17515 Spring Cypress RD Ste I
Cypress, TX 77429-2689
City
Cypress
State
TX
Zip
77429-2689
Phone Number
281-304-4280
Fax Number
281-304-4286

License Information

License Number (1)
DN1858554
License State (1)
MA
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
28151
License State (2)
TX
Taxonomy (2)
Dentist · 122300000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Blaire L Marshall, DDS?

The NPI number of Blaire L Marshall, DDS is 1184989782. It was assigned on July 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Blaire L Marshall, DDS?

Blaire L Marshall, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1858554.

Where does Blaire L Marshall, DDS practice?

The practice location is Mansfield Modern Dentistry, 287 School St Ste 120, Mansfield, MA 02048-0204. The office can be reached at 918-640-8209 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184989782 directly on the NPPES registry website.

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