Individual
MR. STEVEN T. MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1300 N OAKLAND AVE, SUITE B, BOLIVAR, MO 65613-3018
(417) 326-6061
(417) 326-3537
Mailing address
1300 N OAKLAND AVE, SUITE B, BOLIVAR, MO 65613-3018
(417) 326-6061
(417) 326-3537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013496
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102763
BLUE CROSS
—
01
—
792045
UNITED CONCORDIA
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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