Dentistry by Edward Martin DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTRY BY EDWARD MARTIN DDS PA

Practice address

300 Alt 19 N
Suite a
Palm Harbor, FL 34683

Phone

(727) 785-0589

Fax

(727) 771-9659

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Edward Martin Jr., DDS

Title

President

Phone

(727) 785-0589

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215023593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ALT 19 N",
            "address_2": "SUITE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-785-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ALT 19 N",
            "address_2": "SUITE A",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34683",
            "telephone_number": "727-785-0589",
            "fax_number": "727-771-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY BY EDWARD MARTIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-785-0589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Lyn Delsignore, M.A. CCC-SLP
• Paul Scott Denker, MD
• Dennis H. Kim MD LLC
• Dental Care Delivered
• Dental Office of Palm Harbor Inc
• Judie Astraud Pejero Derigay
• Michael Desimone
• Kim Annette Dettman, MS CCC-SLP
• Shannon Detwiler, MA, LMHC
• Smruthi Rauna Devalaraju

• General Practice Dentistry in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.