Active NPI
Liliana Marshall DMD PLLC
- General Practice Dentistry
- Palm Bay, FL
National Provider Identifier
1083974901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17553
- Legal business name
- LILIANA MARSHALL DMD PLLC
- Practice address
- 2186 Harris Ave NE Ste 3
Palm Bay, FL 32905-4044 - Phone
- (321) 723-2620
- NPI assigned
- May 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Liliana M Marshall, D.M.D
- Title
- Owner
- Phone
- (321) 723-2620
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN17553 | FL | Primary |
Addresses
Primary practice location
2186 Harris Ave NE Ste 3
Palm Bay, FL 32905-4044
Mailing address
2186 Harris Ave NE Ste 3
Palm Bay, FL 32905-4044
Phone (321) 723-2620
National Provider Directory
National Provider DirectoryLocations
2186 Harris Ave NE
Ste 3
Palm Bay, FL 32905
Phone (321) 723-2620
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Palm Bay, FL
- NPI 1013093491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378339200000",
"number": "1083974901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2186 HARRIS AVE NE STE 3",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054044",
"telephone_number": "321-723-2620",
"fax_number": "321-722-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2186 HARRIS AVE NE STE 3",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329054044",
"telephone_number": "321-723-2620"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LILIANA MARSHALL DMD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-24",
"last_updated": "2013-09-05",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "LILIANA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "321-723-2620",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.