Glenn A. Martin in Sun City - General Practice
Glenn A. Martin - NPI 1154479699
Glenn A. Martin is a General Practice in Sun City, California. Glenn A. Martin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Glenn A. Martin is 1154479699. The last update date is 2007-07-08.
Glenn A. Martin's current location address is 28401 Bradley Rd, Sun City, California. You can contact this provider via phone number 9516795384 and fax number 9516793640. The mailing address for Glenn A. Martin is 28401 Bradley Rd, Sun City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn A. Martin |
|---|---|
| Address | 28401 Bradley Rd, Sun City, California |
| Phone Number | 9516795384 |
| Fax Number | 9516793640 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154479699 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 28401 Bradley Rd |
|---|---|
| City | Sun City |
| State | California (CA) |
| Post Code | 925863040 |
| Phone Number | 9516795384 |
| Fax Number | 9516793640 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 29169 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 771450 | CA | UNITED CONCORDIA PROVIDER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glenn A. Martin?
The Glenn A. Martin has been issued the NPI (National Provider Identifier) 1154479699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Glenn A. Martin is located?
The Glenn A. Martin is situated at the following address: 28401 Bradley Rd, Sun City, CA, 925863040.
What is Glenn A. Martin's area of expertise and its corresponding taxonomy classification?
The Glenn A. Martin's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1154479699 to Glenn A. Martin?
The Glenn A. Martin received its 1154479699 assignment from the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date were the details related to Glenn A. Martin most recently updated or revised?
The information pertaining to Glenn A. Martin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.