Organization
CHADWICK J MARSHALL DMD MD PA DBA GULF COAST FACIAL AND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHADWICK MARSHALL DMD, MD (CREDENTIALING SPECIALIST)
(850) 269-7550
Entity
Organization
Contact information
Practice address
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL 32548-4922
(850) 269-7550
Mailing address
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL 32548-4922
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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