Greenberg, Martin P.

Greenberg, Martin P. is an individual health care provider with primary practice located at 1562 Wells Rd Ste 16 , Orange Park FL 32073-1723. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Greenberg, Martin P. can be contacted via phone (904) 644-0140.

Contact Information

Primary practice address
1562 Wells Rd Ste 16 Orange Park FL 32073-1723
Phone: (904) 644-0140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN18788 Florida
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN18788 Florida

Profile Details

NPI number 1154559870
LBN Legal business name Greenberg, Martin P.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Nov 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154559870 NPPES
Florida MEDICAID 105162100

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