Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Wayne Froedge, DMD

Individual provider Dentist · NPI 1962514737

Dr. Mark Wayne Froedge, DMD is a Dentist in Edmonton, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

706 W Stockton St
Edmonton, KY 42129
Phone: (270) 432-3617
Fax: (270) 432-3617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6307 (KY)

Record details

NPI number1962514737
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESApril 19, 2010

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