Individual provider Active NPI

Marwa Gamam, D.D.S.

  • Dentist
  • Edina, MN
National Provider Identifier
1275976797
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D13250 Issued in MN
Practice address
7550 France Ave S Ste 138
Edina, MN 55435-4761
Phone
(763) 300-8971
NPI assigned
Apr 15, 2013
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D13250 MN Primary

Addresses

Primary practice location

7550 France Ave S Ste 138
Edina, MN 55435-4761

Mailing address

7550 France Ave S Ste 138
Edina, MN 55435-4761
Phone (612) 267-7557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506000007 MN Order and Referring Only - DentistPractitioner - Dentist 1153620505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D13250MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Dental Group CurrentSince Sep 28, 2025 Accepting new patients
Russell N. Frys Jr,, DDS PA PastSince Sep 28, 2025 Accepting new patients

Locations

7550 France Ave S
Ste 138
Edina, MN 55435
Phone (763) 300-8971

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1275976797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 138",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354761",
            "telephone_number": "612-267-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 FRANCE AVE S STE 138",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354761",
            "telephone_number": "763-300-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMAM",
        "first_name": "MARWA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.