Healthcare Provider Details

I. General information

NPI: 1528370798
Provider Name (Legal Business Name): ANNIKA MARSCHALL DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2010
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11020 SW 88TH ST STE 202
MIAMI FL
33176-1202
US

IV. Provider business mailing address

7800 SW 87TH AVE STE A-150
MIAMI FL
33173-3570
US

V. Phone/Fax

Practice location:
  • Phone: 305-598-6200
  • Fax: 305-598-8253
Mailing address:
  • Phone: 305-598-6200
  • Fax: 305-598-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number0401412919
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN014391
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN21531
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: