DR. ELLIS GORDON MARSHALL SR. (NPI# 1124188719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124188719 |
| Entity Type | Individual |
| Full Name | DR. ELLIS GORDON MARSHALL SR. |
| Credential | DDS |
| Practice Address |
18 South Main Suite 516 Temple TX 76501 |
| Practice Telephone | 2547787261 |
| Practice Fax Number | 2547780098 |
| Mailing Telephone | 2547787261 |
| Mailing Fax Number | 2547780098 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
07294 | TX | Dental Providers |
| Street Address |
18 SOUTH MAIN SUITE 516 |
| City | TEMPLE |
| State | TX |
| Zip Code | 76501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245390830 | E Gordon Marshall Jr. | Dentist | 18 South Main, Suite 516, Temple, TX 76501 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437549755 | Modern Psychologist Network LLC | Psychologist | 16 E Avenue A Ste 212, Temple, TX 76501 | 2015-01-24 |
| 1558603852 | Thomas Edward Chamberlain | Pharmacist | 1314 W. Adams Avenue, Temple, TX 76501 | 2013-03-25 |
| 1124300405 | James Devin Dean | Optometrist | 508 W Munroe Ave, Temple, TX 76501 | 2011-09-13 |
| 1700036282 | Melee Munoz | Counselor | 616 N. Main Street Ste. 200, Temple, TX 76501 | 2008-09-22 |
| 1801917315 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 5704 Little Flock Rd, Temple, TX 76501 | 2007-04-02 |
| 1184728362 | Vijay Mehta | Surgery | 1901 Veterans Blvd, Central Texas Veterans Health Care System, Dept Surgery, Temple, TX 76501 | 2006-09-11 |
| 1306807953 | Alisha Jilly Roff | Physician Assistant | 304 S. 22nd Street, Temple, TX 76501 | 2006-03-31 |
| 1952782146 | Matthew Aaron Meece | Family Medicine | 409 W Adams Ave, Temple, TX 76501 | 2015-06-12 |
| 1619136918 | Joshua D Caballero | Pharmacist | 2401 South 31st Street, Dept of Emergency Medicine, Temple, TX 76501 | 2008-06-03 |
| 1104018530 | Marguerite Murray Kay | Internal Medicine | Department of Veterans Affairs, 1901 South First Street, Temple, TX 76501 | 2007-08-09 |
| Find all providers in zip 76501 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761319 | Erin Lee Kern | Dentist | 3550 S General Bruce Dr Ste D103, Temple, TX 76504-5138 | 2020-08-20 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1053963967 | Mousami Surapaneni | Dentist | 3108 S 31st St Ste 2108, Temple, TX 76502-1803 | 2019-07-11 |
| 1689235038 | Bruce Total Dental and Orthodontics Pllc | Dentist | 3809 S General Bruce Dr Ste 104, Temple, TX 76502-1038 | 2019-06-26 |
| 1265925721 | Sharon Kuriakose Iype | Dentist | 3108 S 31st St Ste 3108, Temple, TX 76502-1803 | 2018-06-10 |
| 1710409586 | Lynda My Nguyen | Dentist | 7410 W Adams Ave, Temple, TX 76502-5891 | 2017-07-12 |
| 1225562820 | Qtl Dental Pllc | Dentist | 121 N 31st St, Suite A, Temple, TX 76504-2421 | 2017-04-20 |
| 1346607314 | Quang Luong | Dentist | 5297 S 31st St Ste 111, Temple, TX 76502-3515 | 2016-01-21 |
| 1780073627 | Sungjoon T Koo | Dentist | 10252 W Adams Ave Ste 101, Temple, TX 76502-5849 | 2015-01-15 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.