Martin, Jb

Martin, Jb is an individual health care provider with primary practice located at 446 Effingham St Fl 1 , Portsmouth VA 23704-3464. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Martin, Jb can be contacted via phone (757) 224-3006.

Contact Information

Primary practice address
446 Effingham St Fl 1 Portsmouth VA 23704-3464
Phone: (757) 224-3006
Fax: (757) 234-8891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 7603 Virginia

Profile Details

NPI number 1114093937
LBN Legal business name Martin, Jb
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Apr 12th, 2019 - about 6 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 1114093937 NPPES
Virginia MEDICAID 008200025
Virginia Other 003366225
Virginia Other 003366242

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