Martin, Phillip Ronald

Martin, Phillip Ronald is an individual health care provider with primary practice located at 844 S Marion Ave , Lake City FL 32025-5855. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, Phillip Ronald can be contacted via phone (386) 752-8531.

Contact Information

Primary practice address
844 S Marion Ave Lake City FL 32025-5855
Phone: (386) 752-8531
Fax: (386) 752-7681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN15702 Florida

Profile Details

NPI number 1982900908
LBN Legal business name Martin, Phillip Ronald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2011
Last updated Apr 30th, 2014 - 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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