Marcia L. Preston DDS PC Preston Family Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2002011186 Issued in MO

Legal business name

MARCIA L. PRESTON DDS PC PRESTON FAMILY DENTAL

Practice address

604 E Elm St
Republic, MO 65738-1552

Phone

(417) 732-7874

Fax

(417) 732-5084

NPI assigned

Sep 6, 2007

Last updated

Jun 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcia Lynn Preston, D.D.S.NPI 1144303363

Title

Dentist

Phone

(417) 732-7874

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcia L Preston, DDS

  • General Practice Dentistry
  • Republic, MO
  • NPI 1144303363
  NPD (past) Authorized official

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1609061233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 E ELM ST",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381552",
            "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 E ELM ST",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381552",
            "telephone_number": "417-732-7874",
            "fax_number": "417-732-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIA L. PRESTON DDS PC PRESTON FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-732-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2002011186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaden Link
• Beverly Jean Long, CRNA, MS
• Tara Denae Long, CF-SLP
• Dwayne L Mackey
• Mary Christine Mahana, PSYD
• Sarah Marsh, OTR/L
• Sherryl L Marshall
• Stephen Day Maus, D.D.S.
• Crystal Emily May, LMT
• Sara B. McCalley, FNP

• Dental Clinic/Center in Republic, MO
• Providers in Republic, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.