Marvin J. Gottschall Jr., DDS

General Practice Dentistry · Cusick, WA

Individual Active NPI

NPI number 1871636555

Practice location

1821 N Leclerc Rd. #1
Cusick, WA 99119-5015
Phone
(509) 447-7111
Fax
(509) 445-1152

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NPI record

NPI
1871636555
Entity type
Individual (Type 1)
Enumeration date
February 14, 2007
Last updated
June 3, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE00009801 WA

About Dr. Gottschall

Marvin J. Gottschall Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1821 N Leclerc Rd. #1, Cusick, WA 99119-5015. The NPI number 1871636555 was assigned on February 14, 2007 and the record was last updated on June 3, 2011.

Dr. Gottschall lists a license in the registry: #DE00009801 (WA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marvin J. Gottschall Jr., DDS?

The NPI number is 1871636555.

What is the phone number of Dr. Gottschall?

The phone number listed for the practice location is (509) 447-7111.

Where is Dr. Gottschall located?

1821 N Leclerc Rd. #1, Cusick, WA 99119-5015.

What is the taxonomy code for Dr. Gottschall?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.