DR. John Marshall III, DMD

NPI #1205356425 in O Fallon, Missouri

Provider Information

NPI Number: 1205356425
Entity Type: Individual
Name: DR. John Marshall III, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jun 20, 2017
Last Updated: Sep 22, 2018

Practice Location

Address: 2315 TECHNOLOGY DR STE 101
City: O Fallon
State: Missouri
ZIP Code: 63368-7371
Phone: (636) 561-9255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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