KAYLA DANELLE FRY (NPI# 1629507793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629507793 |
| Entity Type | Individual |
| Full Name | KAYLA DANELLE FRY |
| Credential | DDS |
| Practice Address |
2602 S Washington Ave Marshall TX 75672-7666 |
| Mailing Address |
875 Private Road 3446 Hallsville TX 75650-6397 |
| Practice Telephone | 9039385662 |
| Practice Fax Number | 9037365429 |
| Mailing Telephone | 9037365429 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
33039 | TX | Dental Providers |
| Street Address |
2602 S WASHINGTON AVE |
| City | MARSHALL |
| State | TX |
| Zip Code | 75672-7666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154416477 | Daniel Vasques Balderrama | Dentist | 2602 S Washington Ave, Marshall, TX 75672-7666 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783376 | Alexander Barroga | Licensed Vocational Nurse | 605 Pr 1332, Marshall, TX 75672 | 2019-01-09 |
| 1699256909 | Paula Dawn Swilley | Occupational Therapy Assistant | 7247 Strickland Springs Rd, Marshall, TX 75672 | 2018-08-24 |
| 1255825394 | Dayspring Therapeutic Equestrian Center of Harrison County Inc | Specialist | 2609 Fern Lake Cutoff, Marshall, TX 75672 | 2018-06-21 |
| 1225587934 | Jeremy Scott Utley | Nurse Practitioner | 808 Harper Dr., Marshall, TX 75672 | 2016-09-23 |
| 1710352513 | Abel Stevenson | Pharmacist | 300 East End Blvd, Marshall, TX 75672 | 2015-12-04 |
| 1689898488 | Wilson Chiropractic Clinic | Chiropractor | 2005 E Grand Ave, Marshall, TX 75672 | 2007-04-12 |
| 1730277187 | John Carrell Cayce | Dentist | 2302 S Washington St, Marshall, TX 75672 | 2006-10-11 |
| 1649239005 | Katharine J Balbuena Md | Physical Medicine & Rehabilitation | 811 South Washington, Marshall, TX 75672 | 2006-03-22 |
| 1245583848 | Bob J Herrin | General Practice | 104 Albemarle Rd., Marshall, TX 75672-1526 | 2012-10-19 |
| 1578106753 | Lauren Gayle Ricossa | Nurse Practitioner | 2908 Fern Lake Cutoff, Marshall, TX 75672-1593 | 2019-10-21 |
| Find all providers in zip 75672 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477072973 | Marshall Dental Care | Dentist | 4199 Winchester Road, Suite H, Marshall, VA 20115 | 2017-09-15 |
| 1811412620 | Plattner Dental Associates, LLC | Dentist | 2301 S Highway 65 Ste 1, Marshall, MO 65340-3713 | 2017-08-14 |
| 1821520834 | Sanaz Harounpour | Dentist | 1800 Bomar St, Marshall, TX 75670-6728 | 2017-03-29 |
| 1669871158 | Marshall Dental PC | Dentist | 900 East End Blvd., Suite 200, Marshall, TX 75670 | 2014-08-20 |
| 1124466347 | Ibrahim Elgarawany | Dentist | 4199 Winchester Rd, Suite H, Marshall, VA 20115-3269 | 2013-06-10 |
| 1326311630 | Restoration Dental LLC- Marshall Dental Professionals | Dentist | 815 N 2nd St, Marshall, IL 62441-1086 | 2012-02-16 |
| 1548538416 | John W Frerich | Dentist | 1106 E College Dr, Marshall, MN 56258-1902 | 2011-12-07 |
| 1013225804 | Rainbow Smiles Dental Center LLC | Dentist | 100 Forrest Ter, Marshall, TX 75670-6804 | 2010-09-15 |
| 1235351123 | Paul Vincent Thompson | Dentist | 103 N. Miami St., Marshall, MO 65340 | 2007-05-02 |
| 1093938219 | James Nickolas Love | Dentist | 215 S Washington Ave, Marshall, TX 75670-4155 | 2007-04-10 |
| Find all providers in MARSHALL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.