Organization Active NPI

Craig T. Martinson

Doing business as Comprehensive Dentistry, LLC

  • Dentist
  • Rincon, GA
National Provider Identifier
1710134960
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN011197 Issued in GA
Legal business name
CRAIG T. MARTINSON
Doing business as
Comprehensive Dentistry, LLC
Practice address
1102 N Columbia Ave
Rincon, GA 31326-6807
Phone
(912) 564-7107
Fax
(912) 826-2432
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Dr. Craig T. Martinson
Title
Ceo
Phone
(912) 564-7107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN011197 GA Primary

Addresses

Primary practice location

1102 N Columbia Ave
Rincon, GA 31326-6807

Mailing address

1102 N Columbia Ave
Rincon, GA 31326-6807
Phone (912) 564-7107

Other names 1

  • Comprehensive Dentistry, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1710134960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 N COLUMBIA AVE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313266807",
            "telephone_number": "912-564-7107",
            "fax_number": "912-826-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 N COLUMBIA AVE",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313266807",
            "telephone_number": "912-564-7107",
            "fax_number": "912-826-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG T. MARTINSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MARTINSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-564-7107",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Dentistry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.