MARSHALL DENTAL EXCELLENCE PLLC (NPI# 1427137629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427137629 |
| Entity Type | Organization |
| Organization Name | MARSHALL DENTAL EXCELLENCE PLLC |
| Other Organization Name | JOHN W FRERICH DDS |
| Practice Address |
1106 East College Dr Marshall MN 56258 |
| Practice Telephone | 5075371052 |
| Practice Fax Number | 5075370349 |
| Mailing Telephone | 5075371052 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | DR. ANDREW FRERICH (OWNER) |
| Authorized Official Telephone | 5075371052 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D10218 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 113322500 | 05 |
| Other Name | Type Code |
|---|---|
| John W Frerich DDS | Former Legal Business Name - Organization |
| Street Address |
1106 EAST COLLEGE DR |
| City | MARSHALL |
| State | MN |
| Zip Code | 56258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285140012 | Action Manufacturing Inc | Durable Medical Equipment & Medical Supplies | 1105 Lake Road, Marshall, MN 56258 | 2017-12-15 |
| 1124579123 | Themarshrx | Durable Medical Equipment & Medical Supplies | 600 Sherman Ave, Marshall, MN 56258 | 2016-10-14 |
| 1780020370 | Heritage Pointe Senio | Assisted Living Facility | 207 N 4th Street, Marshall, MI 56258 | 2013-05-22 |
| 1528351178 | Lori Anne Lynner | Family Medicine | 3160 Us Hwy 59, Marshall, MN 56258 | 2011-05-16 |
| 1912148545 | Tami J Behnke | Counselor | 1418 State Street, Campus Religious Center, Marshall, MN 56258 | 2009-03-11 |
| 1073768396 | Sharyce Marie Audiology Inc | Audiologist | 1424 East College Drive, Suite 200, Marshall, MN 56258 | 2008-12-01 |
| 1497976625 | Erica Anne Jost | Specialist/Technologist | 1501 State Street, Marshall, MN 56258 | 2007-05-02 |
| 1265597470 | Nancy Louise Hemmingson | Optometrist | 300 S Bruce Street, Avera Marshall Southwest Ophthalmology, Marshall, MN 56258 | 2006-12-27 |
| 1407928187 | Midwest Vision Centers Inc | Technician/Technologist | 1113 E College Drive, Marshall, MN 56258 | 2006-11-15 |
| 1306918354 | Paul Joseph Puetz | Chiropractor | 111 Jewett St, Marshall, MN 56258 | 2006-11-14 |
| Find all providers in zip 56258 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477072973 | Marshall Dental Care | Dentist | 4199 Winchester Road, Suite H, Marshall, VA 20115 | 2017-09-15 |
| 1811412620 | Plattner Dental Associates, LLC | Dentist | 2301 S Highway 65 Ste 1, Marshall, MO 65340-3713 | 2017-08-14 |
| 1821520834 | Sanaz Harounpour | Dentist | 1800 Bomar St, Marshall, TX 75670-6728 | 2017-03-29 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1124466347 | Ibrahim Elgarawany | Dentist | 4199 Winchester Rd, Suite H, Marshall, VA 20115-3269 | 2013-06-10 |
| 1326311630 | Restoration Dental LLC- Marshall Dental Professionals | Dentist | 815 N 2nd St, Marshall, IL 62441-1086 | 2012-02-16 |
| 1548538416 | John W Frerich | Dentist | 1106 E College Dr, Marshall, MN 56258-1902 | 2011-12-07 |
| 1013225804 | Rainbow Smiles Dental Center LLC | Dentist | 100 Forrest Ter, Marshall, TX 75670-6804 | 2010-09-15 |
| 1235351123 | Paul Vincent Thompson | Dentist | 103 N. Miami St., Marshall, MO 65340 | 2007-05-02 |
| 1093938219 | James Nickolas Love | Dentist | 215 S Washington Ave, Marshall, TX 75670-4155 | 2007-04-10 |
| Find all providers in MARSHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.