NPIMap

Organization Active NPI

Tina M Marshall DDS PC

  • Dental Clinic/Center
  • Lake Orion, MI
National Provider Identifier
1164040465
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TINA M MARSHALL DDS PC
Practice address
2951 S Baldwin Rd
Lake Orion, MI 48360-1665
Phone
(248) 391-1200
Fax
(248) 391-1201
NPI assigned
Jul 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Tina M Marshall, DDSNPI 1679787287
Title
Owner
Phone
(248) 391-1200

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)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2951 S Baldwin Rd
Lake Orion, MI 48360-1665

Mailing address

2951 S Baldwin Rd
Lake Orion, MI 48360-1665
Phone (248) 391-1200

National Provider Directory

National Provider Directory

Locations

2951 S Baldwin Rd
Lake Orion, MI 48360
Phone (248) 391-1200

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1164040465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601665",
            "telephone_number": "248-391-1200",
            "fax_number": "248-391-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 S BALDWIN RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601665",
            "telephone_number": "248-391-1200",
            "fax_number": "248-391-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA M MARSHALL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-391-1200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.