Robert F Martin Jr DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3867 Issued in AL

Legal business name

ROBERT F MARTIN JR DMD PC

Practice address

137 Interstate Dr
Greenville, AL 36037-3731

Phone

(334) 382-9610

Fax

(334) 382-2930

NPI assigned

Jan 16, 2007

Organization subpart

No

Name

Robert F Martin Jr., DMDNPI 1891808218

Title

Dentist

Phone

(334) 382-9610

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert F Martin Jr., DMD

  • General Practice Dentistry
  • Greenville, AL
  • NPI 1891808218
  NPD (past) Authorized official General Practice

Locations

• Robert F Martin Jr DMD Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821149501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 INTERSTATE DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373731",
            "telephone_number": "334-382-9610",
            "fax_number": "334-382-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 INTERSTATE DR",
            "city": "GREENVILLE",
            "state": "AL",
            "postal_code": "360373731",
            "telephone_number": "334-382-9610",
            "fax_number": "334-382-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F MARTIN JR DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "334-382-9610",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008405450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "92381",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert F Martin Jr DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Greenville, AL
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.