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CHADWICK J MARSHALL DMD MD PA DBA GULF COAST FACIAL AND ORAL SURGERY
NPI 1730951435
Dentist - Oral and Maxillofacial Surgery in Fort Walton Beach, FL

Active since October 25, 2023
105 HOLLYWOOD BLVD NE, FORT WALTON BEACH, FL 32548(850) 269-7550 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chadwick J Marshall Dmd Md Pa Dba Gulf Coast Facial And Oral Surgery NPPES

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

CHADWICK J MARSHALL DMD MD PA DBA GULF COAST FACIAL AND ORAL SURGERY (NPI 1730951435) is a healthcare organization registered as an oral and maxillofacial surgery in Fort Walton Beach, Florida and active in the NPI registry since October 2023. The organization lists Chadwick Marshall, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1730951435
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCHADWICK J MARSHALL DMD MD PA DBA GULF COAST FACIAL AND ORAL SURGERY
Location Address105 HOLLYWOOD BLVD NEFort Walton Beach, FL 32548-4922
Mailing Address105 Hollywood Blvd NeFort Walton Beach, FL 32548-4922
Phone(850) 269-7550
Organization SubpartNo
Authorized OfficialChadwick MarshallCredentialing Specialist · (850) 269-7550
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1730951435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
105 HOLLYWOOD BLVD NE, Fort Walton Beach, FL 32548
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHADWICK J MARSHALL DMD, MD
Dentist (Oral and Maxillofacial Surgery)
105 HOLLYWOOD BLVD NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 269-7550
DR. LAWERENCE S HORNE DMD
Dentist (Oral and Maxillofacial Surgery)
105 HOLLYWOOD BLVD NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 269-7550

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 Chadwick J Marshall Dmd MD PA Dba Gulf Coast Facial And Oral Surgery's NPI number?

The NPI number for Chadwick J Marshall Dmd MD PA Dba Gulf Coast Facial And Oral Surgery is 1730951435. It was assigned to this organization in the NPPES registry on October 25, 2023.

Where is Chadwick J Marshall Dmd MD PA Dba Gulf Coast Facial And Oral Surgery located?

Chadwick J Marshall Dmd MD PA Dba Gulf Coast Facial And Oral Surgery is located at 105 Hollywood Blvd NE, Fort Walton Beach, FL 32548. The listed phone number is (850) 269-7550.

What is Chadwick J Marshall Dmd MD PA Dba Gulf Coast Facial And Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Chadwick J Marshall Dmd MD PA Dba Gulf Coast Facial And Oral Surgery was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.