Martin, Thomas Anthony

Martin, Thomas Anthony is an sole proprietor health care provider with primary practice located at 135 Meadow Ln , Tonawanda NY 14223-1365. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, Thomas Anthony can be contacted via phone (716) 908-6733.

Contact Information

Primary practice address
135 Meadow Ln Tonawanda NY 14223-1365
Phone: (716) 908-6733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 053885 New York

Profile Details

NPI number 1588820799
LBN Legal business name Martin, Thomas Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2008
Last updated Apr 6th, 2012 - about 12 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 1588820799 NPPES
New York MEDICAID 03167571

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