Glenn A. Martin, D.D.S.

General Practice Dentistry · Sun City, CA

Individual Active NPI

NPI number 1154479699

Practice location

28401 Bradley Rd
Suite D
Sun City, CA 92586-3040
Phone
(951) 679-5384
Fax
(951) 679-3640

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NPI record

NPI
1154479699
Entity type
Individual (Type 1)
Enumeration date
January 8, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 29169 CA

About Dr. Martin

Glenn A. Martin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 28401 Bradley Rd, Suite D, Sun City, CA 92586-3040. The NPI number 1154479699 was assigned on January 8, 2007 and the record was last updated on July 8, 2007.

Dr. Martin lists a license in the registry: #29169 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Glenn A. Martin, D.D.S.?

The NPI number is 1154479699.

What is the phone number of Dr. Martin?

The phone number listed for the practice location is (951) 679-5384.

Where is Dr. Martin located?

28401 Bradley Rd, Suite D, Sun City, CA 92586-3040.

What is the taxonomy code for Dr. Martin?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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