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Contact Information

MARSHALL DENTAL EXCELLENCE PLLC
1106 EAST COLLEGE DR
MARSHALL, MN56258
 Phone: 507-537-1052
 Fax: 507-537-0349
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARSHALL DENTAL EXCELLENCE PLLC

NPI Number 1427137629
LBN Legal business name MARSHALL DENTAL EXCELLENCE PLLC
Authorized official ANDREW FRERICH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 01/21/2020 - About 6 years ago
Identifiers
MN License # D10218
MN Medicaid 113322500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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