Michael R. Martell, DDS

General Practice Dentistry · Cedar Lake, IN

Individual Active NPI

NPI number 1902992977

Practice location

12712 Wicker Avenue
Cedar Lake, IN 46303
Phone
(219) 374-6398

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NPI record

NPI
1902992977
Entity type
Individual (Type 1)
Enumeration date
October 5, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8924 IN

Mailing address

PO Box 351
12712 Wicker Avenue
Cedar Lake, IN 46303
Phone
(219) 374-6398

About Dr. Martell

Michael R. Martell, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 12712 Wicker Avenue, Cedar Lake, IN 46303. The NPI number 1902992977 was assigned on October 5, 2006 and the record was last updated on July 8, 2007.

Dr. Martell lists a license in the registry: #8924 (IN) 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 Michael R. Martell, DDS?

The NPI number is 1902992977.

What is the phone number of Dr. Martell?

The phone number listed for the practice location is (219) 374-6398.

Where is Dr. Martell located?

12712 Wicker Avenue, Cedar Lake, IN 46303.

What is the taxonomy code for Dr. Martell?

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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