Individual provider · Type 1 NPI
Jerry Lee Marshall, DMD
General Practice Dentistry · North Pekin, IL
NPI number
1528118239
Active
Practice location
135A-B Radio City Drive
North Pekin, IL 61554
Fax (309) 382-1155
Mailing address
466 S Prairie St
Bethalto, IL 62010-1816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
General Practice Dentistry: 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.
About NPI 1528118239
Jerry Lee Marshall, DMD's National Provider Identifier is 1528118239, issued on Jan 12, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in North Pekin, IL. The record was last updated on Jul 8, 2007.