Jeffrey Alan Martin, DDS

General Practice Dentistry · Shawnee, KS

Individual Active NPI

NPI number 1215547435

Practice location

6130 Nieman Rd
Shawnee, KS 66203-2940
Phone
(913) 631-4373

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NPI record

NPI
1215547435
Entity type
Individual (Type 1)
Enumeration date
August 3, 2020
Last updated
August 3, 2020
Certified
August 3, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 61653 KS

About Dr. Martin

Jeffrey Alan Martin, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6130 Nieman Rd, Shawnee, KS 66203-2940. The NPI number 1215547435 was assigned on August 3, 2020 and the record was last updated on August 3, 2020.

Dr. Martin lists a license in the registry: #61653 (KS) 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 Jeffrey Alan Martin, DDS?

The NPI number is 1215547435.

What is the phone number of Dr. Martin?

The phone number listed for the practice location is (913) 631-4373.

Where is Dr. Martin located?

6130 Nieman Rd, Shawnee, KS 66203-2940.

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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