Phillip Marshall DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PHILLIP MARSHALL DDS PC

Practice address

1335 E Center St Ste 2
Kingsport, TN 37664-2489

Phone

(423) 247-5125

NPI assigned

Mar 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Marshall, DDSNPI 1528354404

Title

President and Secretary

Phone

(423) 247-5125

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Edward Marshall, D.D.S.

  • Dentist
  • Kingsport, TN
  • NPI 1528354404
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1013477603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 E CENTER ST STE 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642489",
            "telephone_number": "423-247-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 E CENTER ST STE 2",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376642489",
            "telephone_number": "423-247-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP MARSHALL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "423-247-5125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@phillipmarshalldds.com",
            "affiliation": "N",
            "address_1": "1335 E Center St Ste 2",
            "city": "Kingsport",
            "state": "TN",
            "country_code": "US",
            "postal_code": "376642489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin James Perrault, DMD
• Jennifer Carlita Peters-Diamond, MD
• Mary Louise Peters
• Shae Peters
• Heather Phelps, NP-C
• Courtney Lynn Phillips-Brown, PHARMD/MPH
• Carl Dean Phillips II
• James C. Phillips, M.D.
• Kathy Melinda Phillips, LMSW
• Lindsy Philllips

• Dental Clinic/Center in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.