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:
Health care specialties
Specialty | Code | License # | 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 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154559870 | NPPES |
Florida | MEDICAID | 105162100 |
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