Marshall, David S
Marshall, David S is an individual health care provider with primary practice located at 201 Ridge St Suite 308, Council Bluffs IA 51503-4643. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Marshall, David S can be contacted via phone (712) 328-8892.Contact Information
Primary practice address
201 Ridge St Suite 308
Council Bluffs IA 51503-4643
Phone: (712) 328-8892
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5705 | Iowa |
Profile Details
| NPI number | 1144324302 |
|---|---|
| LBN Legal business name | Marshall, David S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Dec 21st, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144324302 | NPPES |
| Iowa | MEDICAID | 0075564 |
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