1. Home
  2. Directory
  3. Washington
  4. Cusick
  5. Dentist
  6. NPI Profile

DR. MARVIN J GOTTSCHALL JR. DDS
NPI 1871636555
Dentist - General Practice in Cusick, WA

Active since February 14, 2007
1821 N LECLERC RD. #1, CUSICK, WA 99119(509) 447-7111(509) 445-1152 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marvin J Gottschall Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARVIN J GOTTSCHALL JR. DDS (NPI 1871636555) is an individual general practice provider in Cusick, Washington, licensed in Washington (DE00009801) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1871636555
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARVIN J GOTTSCHALL JR.Credential: DDS
Location Address1821 N LECLERC RD. #1Cusick, WA 99119-5015
Mailing Address1821 N Leclerc Rd. #1Cusick, WA 99119-5015 · (509) 447-7111 · Fax (509) 445-1152
Phone(509) 447-7111
Fax(509) 445-1152
Sole ProprietorNo
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJune 3, 2011
✔ NPI 1871636555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · DE00009801
Definition
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.

Other Identifiers 2

Other0213060WA · Labor & Industries Id #
Medicaid5051537WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marvin Gottschall's NPI number?

The NPI number for Marvin Gottschall is 1871636555. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Marvin Gottschall located?

Marvin Gottschall practices at 1821 N Leclerc Rd. #1, Cusick, WA 99119. The listed phone number is (509) 447-7111.

What is Marvin Gottschall's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Marvin Gottschall accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Marvin Gottschall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marvin Gottschall was last updated on June 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.