NPIMap

Organization Active NPI

Frye Dental Group LLC

  • Dentist
  • Marietta, OH
National Provider Identifier
1902839996
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19744 Issued in OH
Legal business name
FRYE DENTAL GROUP LLC
Practice address
1309 Greene St
Marietta, OH 45750-9172
Phone
(740) 374-0123
Fax
(740) 376-9985
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Dr. Bret R Frye, D.D.S.NPI 1083632483
Title
Owner
Phone
(740) 374-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19744 OH Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

1309 Greene St
Marietta, OH 45750-9172

Mailing address

1309 Greene St
Marietta, OH 45750-9172
Phone (740) 374-0123

National Provider Directory

National Provider Directory

Locations

1309 Greene St
Marietta, OH 45750
Phone (740) 374-0123

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1902839996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 GREENE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509172",
            "telephone_number": "740-374-0123",
            "fax_number": "740-376-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 GREENE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509172",
            "telephone_number": "740-374-0123",
            "fax_number": "740-376-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRYE DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-374-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "19744",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.