Alan J. Martin

General Practice Dentistry · St Augustine, FL

Individual Active NPI

NPI number 1154819043

Practice location

268 Herbert St
St Augustine, FL 32084-4000
Phone
(904) 829-1962

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NPI record

NPI
1154819043
Entity type
Individual (Type 1)
Enumeration date
April 25, 2018
Last updated
April 25, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN23010 FL

Mailing address

690 Wild Cypress Cir
Ponte Vedra Beach, FL 32081-5731
Phone
(904) 829-1962
Fax
(904) 395-3489

Other practice locations (1)

  • 690 Wild Cypress Cir, Ponte Vedra Beach, FL 32081-5731 · (904) 395-3489

About Alan Martin

Alan J. Martin is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 268 Herbert St, St Augustine, FL 32084-4000. The NPI number 1154819043 was assigned on April 25, 2018 and the record was last updated on April 25, 2018.

Alan Martin lists a license in the registry: #DN23010 (FL) 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 Alan J. Martin?

The NPI number is 1154819043.

What is the phone number of Alan Martin?

The phone number listed for the practice location is (904) 829-1962.

Where is Alan Martin located?

268 Herbert St, St Augustine, FL 32084-4000.

What is the taxonomy code for Alan 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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