Philip Lewis Marshall, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0011485 Issued in FL

Practice address

3443 Tamiami TRL
Suite F
Port Charlotte, FL 33952-8159

Phone

(941) 629-8187

Fax

(941) 629-2498

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marshall Family Dentistry

  • General Practice Dentistry
  • Port Charlotte, FL
  • NPI 1528071305

  General Practice

  NPD (past) Authorized official
• Yamila Noriega-Abreu, DMD, PLLC

  • Dental Clinic/Center
  • Port Charlotte, FL
  • NPI 1336807437
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124129531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 LEA MARIE ISLAND DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529191",
            "telephone_number": "941-627-8872",
            "fax_number": "941-629-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 TAMIAMI TRL",
            "address_2": "SUITE F",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528159",
            "telephone_number": "941-629-8187",
            "fax_number": "941-629-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "PHILIP",
        "middle_name": "LEWIS",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0011485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayna Markle
• Luis Gerardo Marmol, M.D.
• Karen A. Marotte, LMT
• Kendall Karen Marotti, P.A.
• Marshall Family Dentistry
• Elizabeth Marsicovetere, LCSW
• Martin Aguero, MD PLLC
• Martin B. Zieman OD, PA
• Caleb Charles Martin, DMD
• Judy Ann Martin

• All providers in Port Charlotte, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.