Martin Kids Dental Health Team

Primary specialty

DentistTaxonomy code 122300000X

License

20184 Issued in FL

Legal business name

MARTIN KIDS DENTAL HEALTH TEAM

Practice address

13820 W Newberry Rd Ste 100
Jonesville, FL 32669

Phone

(352) 371-3200

Fax

(352) 377-7102

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

William B Martin

Title

Owner

Phone

(352) 371-3200

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1336571611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13820 W NEWBERRY RD STE 100",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "326692093",
            "telephone_number": "352-371-3200",
            "fax_number": "352-377-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 W NEWBERRY RD STE 100",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "32669",
            "telephone_number": "352-371-3200",
            "fax_number": "352-377-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN KIDS DENTAL HEALTH TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-371-3200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "20184",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "19462",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN7298",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Dickson Haug- Brush, DMD
• Charlotte Rebecca Gleeson Hill, D.M.D
• Holiday CVS LLC (CVS Pharmacy #05227)
• Jonesville Family Dentistry PA
• Kristina Von Castel - Dunwoody (Fit Food Doc)
• Martin Orthodontics, PA
• Sherrie Ann Means, OTR/L
• Marci Monchek, OT/L
• Lydia Moreno, APRN
• Vivek V. Nerikar, D.M.D.

• Dentist in Jonesville, FL
• Providers in Jonesville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.