Marlon Pemberton

NPI 1942746185 · on the registry since 2017 · sole proprietor

Practice

Address: 1604 Visa Dr Ste 1
Normal, IL 61761
Phone: (309) 454-1100
Fax: (309) 454-1107
Organisation at this address: Jay Sweis Dds Pc
Neuromonitoring Service Llc
Definitive Neurodiagnostics Llc
Your Extra Hands Surgical Services
Everyone'S Family Dental Normal Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 84

Registry record

Primary taxonomy: 246QM0706X
246QM0706X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2017-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois