Martin, Brian Preston

Martin, Brian Preston is an sole proprietor health care provider with primary practice located at 1 Freedom Way Building 110-Rm-2A-196, Augusta GA 30904-6258. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Martin, Brian Preston can be contacted via phone (706) 830-7609.

Contact Information

Primary practice address
1 Freedom Way Building 110-Rm-2A-196 Augusta GA 30904-6258
Phone: (706) 830-7609
Fax: (706) 481-6721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 4053 Georgia
Dental Providers / Dentist 122300000X DN014599 Georgia

Profile Details

NPI number 1730132465
LBN Legal business name Martin, Brian Preston
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Sep 6th, 2013 - about 11 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 1730132465 NPPES
Georgia MEDICAID 303475451A

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