Smallidge, Martin

Smallidge, Martin is an individual health care provider with primary practice located at 3145 Garden Ave , Fort Sam Houston TX 78234-7718. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Smallidge, Martin can be contacted via phone (210) 808-3737.

Contact Information

Primary practice address

3145 Garden Ave Fort Sam Houston TX 78234-7718

Phone: (210) 808-3737

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Dental Providers / General Practice	1223G0001X	DS040045	Pennsylvania
Dental Providers / Prosthodontics	1223P0700X	DS040045	Pennsylvania

Profile Details

NPI number	1992113062
LBN Legal business name	Smallidge, Martin
Credentials	Doctor of Dental Medicine (DMD)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Aug 1st, 2014
Last updated	Jul 5th, 2023 - about last year

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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