Marcia L Preston, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2002011186 Issued in MO

Practice address

604 East Elm
Republic, MO 65738

Phone

(417) 732-7874

Fax

(417) 732-5084

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marcia L. Preston DDS PC Preston Family Dental

  • Dental Clinic/Center
  • Republic, MO
  • NPI 1609061233
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144303363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 EAST ELM",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "65738",
            "telephone_number": "417-732-7874",
            "fax_number": "417-732-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 EAST ELM",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "65738",
            "telephone_number": "417-732-7874",
            "fax_number": "417-732-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "MARCIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2002011186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physical Therapy, LLC (Republic Medical Supply & Republic Physical Therapy & Rehab)
• Ida Piper
• Steven Place
• Rosanna Pogue
• Jaclyn Pohlers, DO
• Charise A Price, BSDC
• Regional Services (CoxHealth Center Republic)
• Republic Family Medical Walk-in Clinics Inc
• Republic Family Medicine, LLC
• Republic Hearing Care LLC (Republic Hearing Care)

• General Practice Dentistry in Republic, MO
• Providers in Republic, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.