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Dr. Jerry Lee Marshall, DMD
General Practice Dentistry in North Pekin, Illinois
NPI 1528118239

Jerry Lee Marshall is a General Practice Dentistry based in Bethalto, IL and is specialized in General Practice. Jerry Lee Marshall practices in North Pekin, IL and has the professional credentials of DMD. The NPI Number for Jerry Lee Marshall is 1528118239 and holds a License No. (Illinois).

The current practice location address for Jerry Lee Marshall is 135A-B Radio City Drive, North Pekin, IL and can be reached out via phone at 309-382-2229 and via fax at 309-382-1155. You can also correspond with Jerry Lee Marshall through the mailing address at 466 S PRAIRIE ST, BETHALTO, IL - 62010-1816 (mailing address contact number: 618-377-2482).

Location: 135A-B Radio City Drive, North Pekin, IL, 62010-1816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528118239
Provider Name
Jerry Lee Marshall
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
135A-B Radio City Drive, North Pekin, IL, 62010-1816
Phone Number
309-382-2229
Fax Number
309-382-1155
Provider Enumeration Date
01/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
135A-B Radio City Drive
City
North Pekin
State
Illinois
Zip
61554
Phone Number
309-382-2229
Fax Number
309-382-1155
person
Provider Business Mailing Address Details
Address
466 S Prairie St
City
Bethalto
State
Illinois
Zip
62010-1816
Phone Number
618-377-2482
Fax Number
618-377-5228
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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