Bruce Martinson Family & Cosmetic Dentistry
Organization Active NPI General Practice Dentistry · Wayzata, MN
NPI 1194101055 · NPPES record last updated Aug 3, 2015
Key facts
- NPI
- 1194101055
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D9301 (MN)
- Legal business name
- BRUCE MARTINSON FAMILY & COSMETIC DENTISTRY
- Practice address
- 317 E Wayzata Blvd
Wayzata, MN 55391 - Phone
- (952) 473-4639
- Fax
- (952) 473-1788
- NPI assigned
- Aug 3, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Bruce J Martinson, DDS
- Title
- Dentist/ Owner
- Phone
- (952) 473-4639
National Provider Directory
Locations
317 Wayzata Blvd E
Wayzata, MN 55391
Phone (612) 473-8883
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | D9301 | MN | Yes |
Addresses
Primary practice location
317 E Wayzata Blvd
Wayzata, MN 55391
Mailing address
317 E Wayzata Blvd
Wayzata, MN 55391
Phone (952) 473-4639
Other names
- Wayzata Smiles
Other providers in Wayzata, MN
- Mark Eugene Brewer
- Brian V. Nelson, LP
- Barbro Brost
- Caroline Maria Brost
- Audra Brown
- Amanda Marie Buzard
- Angela Hattie Buzay
- Laura Cady
- Kathleen Cahill
- Camara Good LLC
All providers in Wayzata, MN · General Practice Dentistry in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2015. 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.