MARSHALL DENTAL EXCELLENCE PLLC NPI 1427137629

NPI Information

  • NPI: 1427137629
  • Provider Name: MARSHALL DENTAL EXCELLENCE PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: JOHN W FRERICH DDS
  • Address: 1106 EAST COLLEGE DR
    MARSHALL, MN
    ZIP 56258
  • Phone: (507) 537-1052

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NPI Details

MARSHALL DENTAL EXCELLENCE PLLC is a general practice dentist in Marshall, MN. The provider is 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. MARSHALL DENTAL EXCELLENCE PLLC NPI is 1427137629. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is John W Frerich Dds.

The provider's business location address is:

1106 EAST COLLEGE DR
MARSHALL, MN
ZIP 56258
Phone: (507) 537-1052
Fax: (507) 537-0349

The provider's authorized official is Andrew Frerich .
The authorized official title is Owner and has the following contact phone number (507) 537-1052.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 1/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeD10218MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1113322500MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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