Provider Demographics
NPI:1043902877
Name:MARXER, CAMRYN JANSEN (DMD)
Entity type:Individual
Prefix:DR
First Name:CAMRYN
Middle Name:JANSEN
Last Name:MARXER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CAMRYN
Other - Middle Name:LEE
Other - Last Name:JANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5623 S DORCHESTER AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-6848
Mailing Address - Country:US
Mailing Address - Phone:828-713-4230
Mailing Address - Fax:
Practice Address - Street 1:33 N DEARBORN ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3102
Practice Address - Country:US
Practice Address - Phone:708-222-9500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0364591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice