Martin, John Patrick

Martin, John Patrick is an individual health care provider with primary practice located at 3659 Teays Valley Road Suite 100, Hurricane WV 25526-9701. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Martin, John Patrick can be contacted via phone (304) 201-8500.

Contact Information

Primary practice address
3659 Teays Valley Road Suite 100 Hurricane WV 25526-9701
Phone: (304) 201-8500
Fax: (304) 201-8505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X WV3264 West Virginia

Profile Details

NPI number 1639215684
LBN Legal business name Martin, John Patrick
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 18 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 1639215684 NPPES
West Virginia MEDICAID 0134667000

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