Blaire L. Marshall, DDS

Dentist · Mansfield, MA

Individual Active NPI

NPI number 1184989782

Practice location

Mansfield Modern Dentistry
287 School St Ste 120
Mansfield, MA 02048-0204
Phone
(918) 640-8209

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NPI record

NPI
1184989782
Entity type
Individual (Type 1)
Enumeration date
July 10, 2012
Last updated
January 9, 2020
Certified
January 9, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN1858554 MA
Dentist 122300000X 28151 TX

Mailing address

17515 Spring Cypress Rd Ste I
Cypress, TX 77429-2689
Phone
(281) 304-4280
Fax
(281) 304-4286

Other practice locations (1)

  • 17515 Spring Cypress Rd Ste I, Cypress, TX 77429-2689 · (281) 304-4280

About Dr. Marshall

Blaire L. Marshall, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is Mansfield Modern Dentistry, 287 School St Ste 120, Mansfield, MA 02048-0204. The NPI number 1184989782 was assigned on July 10, 2012 and the record was last updated on January 9, 2020.

Dr. Marshall lists 2 licenses in the registry: #DN1858554 (MA) for Dentist; #28151 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

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

The NPI number is 1184989782.

What is the phone number of Dr. Marshall?

The phone number listed for the practice location is (918) 640-8209.

Where is Dr. Marshall located?

Mansfield Modern Dentistry, 287 School St Ste 120, Mansfield, MA 02048-0204.

What is the taxonomy code for Dr. Marshall?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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