DRS. Martin & Rose
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Watseka, IL
NPI 1215071493 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1215071493
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- DRS. MARTIN & ROSE
- Practice address
- 316 E Lincoln Ave
Watseka, IL 60970-1726 - Phone
- (815) 432-4924
- Fax
- (815) 432-5291
- NPI assigned
- Feb 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. John D. Martin, D.D.S.
- Title
- President
- Phone
- (815) 432-4924
Practitioners 1
-
John M Rose, DDS MS
National Provider Directory
Locations
316 E Lincoln Ave
Watseka, IL 60970
Phone (815) 432-4924
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | IL | ||
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | IL | Yes |
Addresses
Primary practice location
316 E Lincoln Ave
Watseka, IL 60970-1726
Mailing address
316 E Lincoln Ave
Watseka, IL 60970-1726
Phone (815) 432-4924
Other providers in Watseka, IL
- Jenny Denault
- Vijay Desai
- Hollye Dionne
- Charlotte Fay Douglas
- Randy Gene Dowdell
- Dsi Watseka Operator LLC
- Rebecca Eimer
- Daniel Ellis
- Donald J. Emerson
- Jill Erickson
All providers in Watseka, IL · Orthodontics and Dentofacial Orthopedics Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.