Martin, Kenneth R.
Martin, Kenneth R. is an sole proprietor health care provider with primary practice located at 694 S Willow Ave , Cookeville TN 38501-3882. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, Kenneth R. can be contacted via phone (931) 528-5491.Contact Information
Primary practice address
694 S Willow Ave
Cookeville TN 38501-3882
Phone: (931) 528-5491
Fax: (931) 520-0510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS2766 | Tennessee |
Profile Details
| NPI number | 1760557334 |
|---|---|
| LBN Legal business name | Martin, Kenneth R. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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