Dr Jerry Allyn Marshall, DDS is a
Dentist - General Practice based in Rotan, Texas. Dr Jerry Allyn Marshall is licensed to practice in Texas (license number 07510) and his current practice location is
212 E Sammy Baugh, Rotan, Texas. He can be reached at his office (for appointments etc.) via phone at
(325) 735-3065.
NPI number for Dr Jerry Allyn Marshall is 1063537058 and his current mailing address is 212 E Sammy Baugh, Rotan, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063537058.
Healthcare Provider's Profile
| Full Name | Dr Jerry Allyn Marshall |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 212 E Sammy Baugh, Rotan, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063537058
- Provider Enumeration Date: 03/20/2007
- Last Update Date: 10/20/2024
Medical Identifiers
Medical identifiers for Dr Jerry Allyn Marshall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063537058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 07510 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry Allyn Marshall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerry Allyn Marshall, DDS
212 E Sammy Baugh,
Rotan, TX 79546
Ph: (325) 735-3065 | Dr Jerry Allyn Marshall, DDS
212 E Sammy Baugh,
Rotan, TX 79546
Ph: (325) 735-3065 |
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