Provider Demographics
NPI:1699770537
Name:MARSHALL, DON G (DDS)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:G
Last Name:MARSHALL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:707 W FRANCIS AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6401
Mailing Address - Country:US
Mailing Address - Phone:509-327-3368
Mailing Address - Fax:509-325-2712
Practice Address - Street 1:707 W FRANCIS AVE
Practice Address - Street 2:STE 200
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6401
Practice Address - Country:US
Practice Address - Phone:509-327-3368
Practice Address - Fax:509-325-2712
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000071161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice