Phillip Ronald Martin, D.D.S.

General Practice Dentistry · Lake City, FL

Individual Active NPI

NPI number 1982900908

Practice location

844 S Marion Ave
Lake City, FL 32025-5855
Phone
(386) 752-8531
Fax
(386) 752-7681

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NPI record

NPI
1982900908
Entity type
Individual (Type 1)
Enumeration date
February 9, 2011
Last updated
April 30, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN15702 FL

About Dr. Martin

Phillip Ronald 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 844 S Marion Ave, Lake City, FL 32025-5855. The NPI number 1982900908 was assigned on February 9, 2011 and the record was last updated on April 30, 2014.

Dr. Martin lists a license in the registry: #DN15702 (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 Phillip Ronald Martin, D.D.S.?

The NPI number is 1982900908.

What is the phone number of Dr. Martin?

The phone number listed for the practice location is (386) 752-8531.

Where is Dr. Martin located?

844 S Marion Ave, Lake City, FL 32025-5855.

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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