DR. JERRY LEE MARSHALL D.M.D.
NPI 1528118239
Dentist - General Practice in North Pekin, IL

Q: What is Jerry Marshall's NPI number?

The NPI number for Jerry Marshall is 1528118239. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Q: What is Jerry Marshall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Marshall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2007

135A-B RADIO CITY DRIVE, NORTH PEKIN, IL 61554(309) 382-2229(309) 382-1155 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jerry Lee Marshall D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY LEE MARSHALL D.M.D. (NPI 1528118239) is an individual general practice provider in North Pekin, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1528118239

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JERRY LEE MARSHALLCredential: D.M.D.

Location Address135A-B RADIO CITY DRIVENorth Pekin, IL 61554

Mailing Address466 S Prairie StBethalto, IL 62010-1816 · (618) 377-2482 · Fax (618) 377-5228

Phone(309) 382-2229

Fax(309) 382-1155

Sole ProprietorNo

Enumeration DateJanuary 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528118239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

135A-B RADIO CITY DRIVE, North Pekin, IL 61554

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Marshall's NPI number?

The NPI number for Jerry Marshall is 1528118239. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Jerry Marshall located?

Jerry Marshall practices at 135a-B Radio City Drive, North Pekin, IL 61554. The listed phone number is (309) 382-2229.

What is Jerry Marshall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jerry Marshall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.