BLAIRE L MARSHALL (NPI# 1184989782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184989782 |
| Entity Type | Individual |
| Full Name | BLAIRE L MARSHALL |
| Credential | DDS |
| Practice Address |
Mansfield Modern Dentistry 287 School St Ste 120 Mansfield MA 02048-0204 |
| Mailing Address |
17515 Spring Cypress Rd Ste I Cypress TX 77429-2689 |
| Practice Telephone | 9186408209 |
| Mailing Telephone | 2813044280 |
| Mailing Fax Number | 2813044286 |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN1858554 | MA | Dental Providers |
| N | 122300000X | Dentist | 28151 | TX | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17515 Spring Cypress Rd Ste I, Cypress, TX 774292689 | 2813044280 | 2813044286 |
| Street Address |
MANSFIELD MODERN DENTISTRY 287 SCHOOL ST STE 120 |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-0204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1457992828 | Mansfield Modern Dentistry, PC | Dentist | 287 School St Ste 120, Mansfield, MA 02048-1850 | 2019-10-07 |
| 1457828493 | Soh of Texas Samson Liu Pllc | Dentist | 2170 Matlock Rd, Mansfield, TX 76063-3814 | 2018-10-29 |
| 1336614924 | Dentists of Mansfield PC | Dentist | 2891 Matlock Rd Ste 101, Mansfield, TX 76063-5383 | 2018-10-10 |
| 1700307014 | Margaret Hirsch | Dentist | 747 Highway 287 N Ste A, Mansfield, TX 76063-2619 | 2017-06-28 |
| 1295288892 | Rachel Todd | Dentist | 1809 Yarmouth Ln, Mansfield, TX 76063-2900 | 2016-07-31 |
| 1548656978 | Janice Hernandez | Dentist | 3806 E Broad St Ste 108, Mansfield, TX 76063-5621 | 2015-04-13 |
| 1619316866 | Jonathan Adam Wilson | Dentist | 425 W Cook Rd, Mansfield, OH 44907-2300 | 2013-06-20 |
| 1275979981 | P'jay Merrell | Dentist | 3302 Richmond Circle, Mansfield, TX 76063-5187 | 2013-05-21 |
| 1114273430 | Daniel Nnadiugwu Nnadiugwu | Dentist | 1521 E Debbie Ln, Mansfield, TX 76063-3341 | 2012-07-25 |
| Find all providers in MANSFIELD | ||||
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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.