Julie L Martin, RDH
Individual provider Active NPI Dental Hygienist · Hanscom Afb, MA
NPI 1124100722 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124100722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 12778 (MA)
- Practice address
- 90 Vandenberg Dr
Hanscom Afb, MA 01731-2104 - Phone
- (781) 377-3396
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 12778 | MA | Yes |
Addresses
Primary practice location
90 Vandenberg Dr
Hanscom Afb, MA 01731-2104
Mailing address
42 Kelly LN
Hanscom Afb, MA 01731-2659
Phone (781) 274-0615
Other providers in Hanscom Afb, MA
- Alina Cheyne Kelley
- Ashley Kelton
- Kylee Kerns
- John Ian Kesler
- Lakshmi Kona
- Heather Kristen Mazzaccaro
- Jessica Lynn Nick
- Matthew Robert Nicoli
- Mark Stephen Oordt
- Timothy Joseph Pappalardo
All providers in Hanscom Afb, MA · Dental Hygienist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.