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General NPI Number Information
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NPI Number | 1346518834
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Entity Type | Organization
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Legal Business Name | MARSHALL ORTHODONTICS, P.C.
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Dates
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Enumeration Date | 12/12/2011
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 2525 6TH AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59405-3013
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Country | US
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Telephone | 406-761-0314
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 6TH AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59405-3013
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT MARSHALL
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Credential |
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Telephone | 406-761-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 2384
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License Number State | MT
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