Jeffrey Lee Martin, Dmd A Professional Dental Corp. in Shreveport - Dentist
Jeffrey Lee Martin, Dmd A Professional Dental Corp. - NPI 1649318411
Jeffrey Lee Martin, Dmd A Professional Dental Corp. is a Dentist in Shreveport, Louisiana. Jeffrey Lee Martin, Dmd A Professional Dental Corp. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Lee Martin, Dmd A Professional Dental Corp. is 1649318411. The last update date is 2020-08-22.
Jeffrey Lee Martin, Dmd A Professional Dental Corp.'s current location address is 416 Ashley Ridge Blvd, Shreveport, Louisiana. You can contact this provider via phone number 3188654091. The mailing address for Jeffrey Lee Martin, Dmd A Professional Dental Corp. is 416 Ashley Ridge Blvd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey Lee Martin, Dmd A Professional Dental Corp. |
|---|---|
| Address | 416 Ashley Ridge Blvd, Shreveport, Louisiana |
| Phone Number | 3188654091 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Martin Lee Jeffrey |
| Credentials | DMD |
| Telephone Number | 3188654091 |
NPI Number Detail
| NPI Number | 1649318411 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 416 Ashley Ridge Blvd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711067228 |
| Phone Number | 3188654091 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5297 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identification code assigned to Jeffrey Lee Martin, Dmd A Professional Dental Corp. by the Centers for Medicare & Medicaid Services?
The Jeffrey Lee Martin, Dmd A Professional Dental Corp. has been issued the NPI (National Provider Identifier) 1649318411, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeffrey Lee Martin, Dmd A Professional Dental Corp. located?
The Jeffrey Lee Martin, Dmd A Professional Dental Corp. is located at 416 Ashley Ridge Blvd, Shreveport, LA 711067228.
What is the Jeffrey Lee Martin, Dmd A Professional Dental Corp.'s specialty and taxonomy code?
The Jeffrey Lee Martin, Dmd A Professional Dental Corp.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did Jeffrey Lee Martin, Dmd A Professional Dental Corp. receive its 1649318411 assignment?
The Jeffrey Lee Martin, Dmd A Professional Dental Corp. was assigned its 1649318411 on 2007-02-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jeffrey Lee Martin, Dmd A Professional Dental Corp. last refreshed?
The information related to the Jeffrey Lee Martin, Dmd A Professional Dental Corp., including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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