Marshal Dylan Earnest, DMD
Individual provider Active NPI General Practice Dentistry · Columbus, NC
NPI 1154858413 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1154858413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11656 (NC)
- Practice address
- 130 Forest Glen Rd
Columbus, NC 28722-3456 - Phone
- (828) 722-0003
- Fax
- (828) 333-5460
- NPI assigned
- May 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190521002189 | FL | Order and Referring Only - Dentist |
3072856772 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11656 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Hospital and Medical Center | Past | Accepting new patients | |
| FL Dental Centers PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN23051 | FL | |
| General Practice Dentistry | 1223G0001X | 11656 | NC | Yes |
Addresses
Primary practice location
130 Forest Glen Rd
Columbus, NC 28722-3456
Mailing address
123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 252-4290
Other practice location 1
123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 252-4290
Other providers in Columbus, NC
- Gerald Orbia Deel
- Matthew Devlin
- Cami Lockhart Dotson
- Fred Augustus Dozier
- Dr. Sonya M Clark P.C.
- Edney Eye Associates OD
- Richard Vance Edney
- Emcare Physician Providers, Inc.
- Families Together, Inc.
- Family Preservation Services of North Carolina, Inc.
All providers in Columbus, NC · General Practice Dentistry in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.