Gregory Paul Martin in Champaign - General Practice
Gregory Paul Martin - NPI 1588677082
Gregory Paul Martin is a General Practice in Champaign, Illinois. Gregory Paul Martin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gregory Paul Martin is 1588677082. The last update date is 2017-04-07.
Gregory Paul Martin's current location address is 2502 Galen Dr, Champaign, Illinois. You can contact this provider via phone number 2173593925. The mailing address for Gregory Paul Martin is 2502 Galen Dr, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Paul Martin |
|---|---|
| Address | 2502 Galen Dr, Champaign, Illinois |
| Phone Number | 2173593925 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1588677082 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2017-04-07 |
Provider Mailing Address Detail
| Address | 2502 Galen Dr |
|---|---|
| City | Champaign |
| State | Illinois (IL) |
| Post Code | 618217045 |
| Phone Number | 2173593925 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 19021454 |
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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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What is the unique identifier code issued to Gregory Paul Martin by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Paul Martin has been assigned the NPI (National Provider Identifier) 1588677082. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Gregory Paul Martin is physically located?
The Gregory Paul Martin is physically situated at the following address: 2502 Galen Dr, Champaign, IL, 618217045.
What is Gregory Paul Martin's area of expertise and its corresponding taxonomy classification?
The Gregory Paul 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 Gregory Paul Martin receive the assignment of its 1588677082 from the Centers for Medicare & Medicaid Services?
The Gregory Paul Martin was issued its 1588677082 by the Centers for Medicare & Medicaid Services on 2006-08-14.
As of what date were the details pertaining to Gregory Paul Martin last refreshed?
The information related to the Gregory Paul Martin, including its address, specialty, and other relevant details, was last updated on 2017-04-07.