National Provider Identifier
Jason C Marshall, DDS
Jason C Marshall, DDS is listed in the NPPES registry with a primary specialty of Dentist in Lewiston, NY and a listed phone number of (716) 754-4810.
Profile Overview
- NPI
- 1104907294
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- October 17, 2006
- Last Updated
- July 08, 2007
Practice Location
- 850 Center St
- Lewiston, NY 14092-1755
Phone: (716) 754-4810
Mailing Address
- 850 Center Street
- Lewiston, NY 14092
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1104907294
- Entity Type
- Individual
- Last Name
- Marshall
- First Name
- Jason
- Middle Name
- C
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 850 Center Street
- Mailing City
- Lewiston
- Mailing State
- NY
- Mailing ZIP Code
- 14092
- Mailing Country
- US
- Mailing Phone
- (716) 754-4810
- Mailing Fax
- (716) 754-9160
- Practice Street Address
- 850 Center St
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1755
- Practice Country
- US
- Practice Phone
- (716) 754-4810
- Practice Fax
- (716) 754-9160
- Enumeration Date
- October 17, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)