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Deactivated NPI 1124188719 Deactivated / Inactive NPI Male Practitioner

Dr. Ellis Gordon Marshall , DDS

Dentist - General Practice • Temple, 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. Ellis Marshall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 12, 2006
NPI Deactivation Date April 16, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Ellis Marshall, DDS was a registered Dentist - General Practice practicing in Temple, TX. Throughout an active medical career spanning 20 years, Dr. Marshall provided care at the practice location at 18 SOUTH MAIN until profile deactivation on 2026-04-16.

Practice Location & Contact Primary Location

Practice Address

18 South Main
Suite 516

Temple, TX 76501

Telephone 2547787261
Fax 2547780098

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Temple, TX

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

Practicing in Temple, 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 07294

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. E Marshall , DDS

Dentist - General Practice

NPI 1245390830

Doctor of Dental Surgery

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 April 16, 2026

Record deactivated on April 16, 2026

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 18 SOUTH MAIN, SUITE 516, TEMPLE, TX 76501 (Tel: 2547787261)

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Updated Business Mailing Address July 08, 2007

Registered at 18 SOUTH MAIN, SUITE 516, TEMPLE, TX 76501 (Tel: 2547787261)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ELLIS MARSHALL, DDS

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

Dentist (License #07294 in TX)

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Initial NPI Registration & Enumeration December 12, 2006

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: 1124188719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: July 08, 2007
Deactivation Date: April 16, 2026

Mailing Address

18 South Main, Suite 516

Temple, TX 76501

Phone: 2547787261

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.