Provider Demographics
NPI:1265324933
Name:MARSHOCK, NICHOLAS C (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:C
Last Name:MARSHOCK
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4352 LEAFWAY CIR
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-7826
Mailing Address - Country:US
Mailing Address - Phone:848-210-6312
Mailing Address - Fax:
Practice Address - Street 1:5285 RED BUG LAKE RD STE 105
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4973
Practice Address - Country:US
Practice Address - Phone:848-210-6312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN30682122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist