Individual provider Active NPI

Marshall Wesley Fesche, D.D.S.

  • General Practice Dentistry
  • Westminster, MD
National Provider Identifier
1366411175
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5382 Issued in MD
Practice address
603 Nursery Rd
Westminster, MD 21157-6109
Phone
(410) 876-6612
Fax
(410) 876-3760
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5382 MD Primary

Addresses

Primary practice location

603 Nursery Rd
Westminster, MD 21157-6109

Mailing address

1302 Musgrove Rd
Lutherville, MD 21093-1635
Phone (410) 252-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20150702000594 MD Order and Referring Only - DentistPractitioner - Dentist 6608188719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates L.L.C. General Practice Past Accepting new patients
Dental Associates, LLC General Practice Past Accepting new patients
Carroll County Dental Associates, LLC General Practice Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366411175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 MUSGROVE RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210931635",
            "telephone_number": "410-252-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NURSERY RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576109",
            "telephone_number": "410-876-6612",
            "fax_number": "410-876-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESCHE",
        "first_name": "MARSHALL",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "5382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.