Lee Joshua Martin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014447 Issued in GA

Practice address

402 N Veterans Blvd
Glennville, GA 30427-2054

Phone

(912) 654-1519

NPI assigned

Aug 10, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lee J. Martin, DMD, LLC

  • Dental Clinic/Center
  • Garden City, GA
  • NPI 1518470053
  NPD Authorized official
• Claxton Family Dentistry LLC

  • Dentist
  • Claxton, GA
  • NPI 1073963476
  NPD (past)
• Midway Family Dental

  • General Practice Dentistry
  • Midway, GA
  • NPI 1780043000

  General Practice

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1053668830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BRIANNA CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314198148",
            "telephone_number": "912-659-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N VETERANS BLVD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304272054",
            "telephone_number": "912-654-1519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 N Coastal Hwy",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "313203415",
            "country_code": "US",
            "telephone_number": "912-880-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Butler St",
            "address_purpose": "LOCATION",
            "city": "Midway",
            "state": "GA",
            "postal_code": "313204294",
            "country_code": "US",
            "telephone_number": "912-880-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Oglesby Ave",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "GA",
            "postal_code": "314081611",
            "country_code": "US",
            "telephone_number": "912-966-2102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Long St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304171409",
            "country_code": "US",
            "telephone_number": "912-739-1595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "LEE",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hee-Jun Gregory Kim, MD
• Brennan Elizabeth King
• Rosa Marie Melvin
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• Hemangiben Patel
• Premise Health of Georgia Medical PC

• All providers in Glennville, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.