Martin Mini Implant Associates, LLC

Organization Active NPI General Practice Dentistry · Martin, TN

NPI 1134816739 · NPPES record last updated Apr 24, 2023

Key facts

NPI
1134816739
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
MARTIN MINI IMPLANT ASSOCIATES, LLC
Practice address
115 Kennedy Dr
Martin, TN 38237-3309
Phone
(731) 571-2437
NPI assigned
Apr 24, 2023
Organization subpart
No

Authorized official

Name
Dr. Robert Christopher Moore, DDS
Title
Dentist
Phone
(731) 571-2437

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

115 Kennedy Dr
Martin, TN 38237
Phone (731) 571-2437

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

115 Kennedy Dr
Martin, TN 38237-3309

Mailing address

115 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 571-2437

Other providers in Martin, TN

All providers in Martin, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.