MARSHALL FAMILY DENTISTRY PLLC (NPI# 1821537010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821537010 |
| Entity Type | Organization |
| Organization Name | MARSHALL FAMILY DENTISTRY PLLC |
| Practice Address |
207 Winston Dr Marshall MI 49068-8526 |
| Practice Telephone | 2697816300 |
| Practice Fax Number | 2697818459 |
| Mailing Telephone | 2697816300 |
| Mailing Fax Number | 2697818459 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | DR. DOUGLAS ALAN VANDERMEULEN (OWNER) |
| Authorized Official Telephone | 2697816300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 13841 | MI | Dental Providers |
| Street Address |
207 WINSTON DR |
| City | MARSHALL |
| State | MI |
| Zip Code | 49068-8526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411096 | Douglas Alan Vandermeulen | Dentist | 207 Winston Dr, Marshall, MI 49068-8526 | 2006-10-16 |
| 1447574314 | Douglas Vandermeulen Dds Pllc | Dentist | 207 Winston Dr, Marshall, MI 49068-8526 | 2010-03-22 |
| 1831361005 | Emily Gallagher | Dentist | 207 Winston Dr, Marshall, MI 49068-8526 | 2008-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
| 1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
| 1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
| 1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
| 1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
| 1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
| 1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
| 1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
| 1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
| 1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
| Find all providers in zip 49068 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241267 | Sarah Taipei | Dentist | 900 E End Blvd N Ste 200, Marshall, TX 75670-2166 | 2020-07-06 |
| 1508425075 | Erik Hill | Dentist | 1511 Carlson St, Marshall, MN 56258-2626 | 2019-06-10 |
| 1902359987 | Marshall Smiles Pllc | Dentist | 900 E End Blvd N, 200, Marshall, TX 75670 | 2016-07-26 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1073745725 | Michael R Thomas Dds | Dentist | 1511 Carlson St., Marshall, MN 56258-2626 | 2009-08-13 |
| 1386841179 | Darrell Mark Neel | Dentist | 402 W Bowie St, Marshall, TX 75670-4012 | 2007-06-27 |
| 1316149149 | Robert Walter Heidenreich | Dentist | 105 E Green Street, Marshall, MI 49068 | 2007-06-04 |
| 1639380561 | Paul Henry Domin | Dentist | 111 E Michigan Ave, Marshall, MI 49068-1543 | 2007-05-24 |
| 1386853745 | Jerry C. Kelly | Dentist | 263 S Jefferson Ave, Marshall, MO 65340-2134 | 2007-05-22 |
| 1497979090 | Craig M. Van Zyl | Dentist | 119 N Eagle St, Marshall, MI 49068-1501 | 2007-04-13 |
| 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.