Eric Anton Martin, DDS
Individual provider Active NPI Periodontics · Lafayette, CA
NPI 1447335682 · NPPES record last updated Oct 1, 2018
Key facts
- NPI
- 1447335682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 51617 (CA)
- Practice address
- 895 Moraga Rd Ste 6
Lafayette, CA 94549-5039 - Phone
- (925) 283-8101
- Fax
- (925) 283-9372
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 7X7 Dental Implant & Oral Surgery Specialists | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 51617 | CA | Yes |
Addresses
Primary practice location
895 Moraga Rd Ste 6
Lafayette, CA 94549-5039
Mailing address
895 Moraga Rd Ste 6
Lafayette, CA 94549-5039
Phone (925) 283-8101
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2018. 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.