Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY LEE MARSHALL, D.M.D.
ActiveDR. JERRY LEE MARSHALL, D.M.D. is a General Dentistry healthcare provider located in NORTH PEKIN, Illinois. NPI 1528118239 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NORTH PEKIN, IL
Registration Details
- NPI Number
- 1528118239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.595129246372 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
135A-B RADIO CITY DRIVENORTH PEKIN, IL, 61554Browse IL providers · Browse ZIP 61554
- Phone
- 3093822229
- Fax
- 3093821155
- Primary Specialty
-
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.