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Individual

DERRICK MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2305 S BLACKMAN RD # 100, SPRINGFIELD, MO 65809-2845
(417) 887-3860
Mailing address
2305 S BLACKMAN RD # 100, SPRINGFIELD, MO 65809-2845
(417) 887-3860

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2026022805
MO

Other

Enumeration date
05/28/2026
Last updated
05/28/2026
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