Organization Active NPI

Marshall Dental Care of Victor, PC

  • Dentist
  • Victor, NY
National Provider Identifier
1366841645
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MARSHALL DENTAL CARE OF VICTOR, PC
Practice address
7375 State Route 96
Suite 200
Victor, NY 14564-9725
Phone
(585) 869-7735
NPI assigned
Aug 22, 2014
Last updated
Jul 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dr. Wendy Colleen MarshallNPI 1801932793
Title
Owner
Phone
(585) 398-0229

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7375 State Route 96
Suite 200
Victor, NY 14564-9725

Mailing address

7375 Sr 96
Suite 200
Victor, NY 14564
Phone (585) 869-7735

Other names 1

  • Wendy C Marshall DDS Finger Lakes Dental Care of Victor Former legal business name

National Provider Directory

National Provider Directory

Locations

7375 State Route 96
Ste 200
Victor, NY 14564
Phone (585) 398-0229

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1366841645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 SR 96",
            "address_2": "SUITE 200",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "14564",
            "telephone_number": "585-869-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 STATE ROUTE 96",
            "address_2": "SUITE 200",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649725",
            "telephone_number": "585-869-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL DENTAL CARE OF VICTOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-398-0229",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendy C Marshall DDS Finger Lakes Dental Care of Victor",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.