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Deactivated NPI 1063537058 Deactivated / Inactive NPI Male Practitioner

Dr. Jerry Allyn Marshall , DDS

Dentist - General Practice • Rotan, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jerry Marshall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2007
NPI Deactivation Date December 05, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Marshall, DDS was a registered Dentist - General Practice practicing in Rotan, TX. Throughout an active medical career spanning 17 years, Dr. Marshall provided care at the practice location at 212 E SAMMY BAUGH until profile deactivation on 2024-12-05.

Practice Location & Contact Primary Location

Practice Address

212 E Sammy Baugh

Rotan, TX 79546

Telephone 3257353065
Fax 3257352229

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rotan, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Rotan, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 07510

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 05, 2024

Record deactivated on December 05, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 212 E SAMMY BAUGH, ROTAN, TX 79546 (Tel: 3257353065)

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Updated Business Mailing Address July 08, 2007

Registered at 212 E SAMMY BAUGH, ROTAN, TX 79546 (Tel: 3257353065)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY MARSHALL, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #07510 in TX)

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Initial NPI Registration & Enumeration March 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063537058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2007
Last Update: July 08, 2007
Deactivation Date: December 05, 2024

Mailing Address

212 E Sammy Baugh

Rotan, TX 79546

Phone: 3257353065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.