# MARCIA L. PRESTON DDS PC PRESTON FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609061233
- **Authorized official:** DR. MARCIA LYNN PRESTON D.D.S. (DENTIST)
- **Authorized official phone:** (417) 732-7874

## Contact information

- **Practice address:** 604 E ELM ST, REPUBLIC, MO 65738-1552
- **Practice address phone:** (417) 732-7874
- **Practice address fax:** (417) 732-5084
- **Mailing address:** 604 E ELM ST, REPUBLIC, MO 65738-1552
- **Mailing address phone:** (417) 732-7874
- **Mailing address fax:** (417) 732-5084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2002011186 | MO | Yes |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 06/19/2008