Brent J Martin Dds Ms Sc in Mequon - Endodontics
Brent J Martin Dds Ms Sc - NPI 1306908371
Brent J Martin Dds Ms Sc is a Endodontics in Mequon, Wisconsin. Brent J Martin Dds Ms Sc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Brent J Martin Dds Ms Sc is 1306908371. The last update date is 2012-04-24.
Brent J Martin Dds Ms Sc's current location address is 1345 W Towne Square Rd, Mequon, Wisconsin. You can contact this provider via phone number 2622413019 and fax number 2622413027. The mailing address for Brent J Martin Dds Ms Sc is 1345 W Towne Square Rd, Mequon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Brent J Martin Dds Ms Sc |
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Address | 1345 W Towne Square Rd, Mequon, Wisconsin |
Phone Number | 2622413019 |
Fax Number | 2622413027 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | ENDODONTIS |
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Authorized Official Name | Martin J Brent |
Credentials | DDS MS SC |
Telephone Number | 2622413019 |
NPI Number Detail
NPI Number | 1306908371 |
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Provider Enumeration Date | 2006-12-15 |
Last Updated Date | 2012-04-24 |
Provider Mailing Address Detail
Address | 1345 W Towne Square Rd |
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City | Mequon |
State | Wisconsin (WI) |
Post Code | 530925047 |
Phone Number | 2622413019 |
Fax Number | 2622413027 |
Provider's Primary Taxonomy Detail
Speciality | Endodontics |
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Taxonomy | 1223E0200X |
Licence No | 2529 |
Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identifier code assigned to Brent J Martin Dds Ms Sc by the Centers for Medicare & Medicaid Services?
The Brent J Martin Dds Ms Sc has been issued the NPI (National Provider Identifier) 1306908371 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Brent J Martin Dds Ms Sc located?
The Brent J Martin Dds Ms Sc is located at 1345 W Towne Square Rd, Mequon, WI 530925047.
What is Brent J Martin Dds Ms Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brent J Martin Dds Ms Sc is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
On what date did the Brent J Martin Dds Ms Sc receive the assignment of its 1306908371 from the Centers for Medicare & Medicaid Services?
The Brent J Martin Dds Ms Sc was issued its 1306908371 by the Centers for Medicare & Medicaid Services on 2006-12-15.
As of what date were the Brent J Martin Dds Ms Sc's details last updated?
The information pertaining to the Brent J Martin Dds Ms Sc, including its address, specialty, and other details, was most recently updated on 2012-04-24.
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