IndividualActive
Marvin Gottschall, DDS
NPI 1871636555 · General Practice Dentistry · Cusick, WA
Provider details
- NPI number
- 1871636555
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DE00009801 (WA)
Specialties & taxonomies
Dental Providers
Practice location
1821 N Leclerc Rd. #1
Cusick, WA 99119-5015
Phone: (509) 447-7111
Fax: (509) 445-1152
Approximate (ZIP-level) locationGet directions
Mailing address
1821 N Leclerc Rd. #1
Cusick, WA 99119-5015
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2011-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.