Laura Martinson, D.M.D

Individual provider Active NPI General Practice Dentistry · Bellevue, WI

NPI 1326420696 · NPPES record last updated Jun 23, 2015

Key facts

NPI
1326420696
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1001146-15 (WI)
Practice address
2014 Lime Kiln Rd
Suite 300
Bellevue, WI 54311-6205
Phone
(930) 857-2092
NPI assigned
Jun 23, 2015
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

State licenses

LicenseStateTypeSpecialty
1001146-15WIMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1001146-15 WI Yes

Addresses

Primary practice location

2014 Lime Kiln Rd
Suite 300
Bellevue, WI 54311-6205

Mailing address

2014 Lime Kiln Rd
Suite 300
Bellevue, WI 54311-6205
Phone (930) 857-2092

Other providers in Bellevue, WI

All providers in Bellevue, WI · General Practice Dentistry in Wisconsin

Sources for this page

Verify at the official NPI Registry.