Frederick Ellis Martin in Norfolk - General Practice
Frederick Ellis Martin - NPI 1134339294
Frederick Ellis Martin is a General Practice in Norfolk, Virginia. Frederick Ellis Martin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Frederick Ellis Martin is 1134339294. The last update date is 2007-07-08.
Frederick Ellis Martin's current location address is 1709 Colley Ave Ste 203, Norfolk, Virginia. You can contact this provider via phone number 7576278303 and fax number 7576277133. The mailing address for Frederick Ellis Martin is 1709 Colley Ave Ste 203, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick Ellis Martin |
|---|---|
| Address | 1709 Colley Ave Ste 203, Norfolk, Virginia |
| Phone Number | 7576278303 |
| Fax Number | 7576277133 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1134339294 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1709 Colley Ave Ste 203 |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235171675 |
| Phone Number | 7576278303 |
| Fax Number | 7576277133 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 401005337 |
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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 10-digit identification code issued to Frederick Ellis Martin by the Centers for Medicare & Medicaid Services?
The Frederick Ellis Martin has been assigned the NPI (National Provider Identifier) 1134339294 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Frederick Ellis Martin located?
The Frederick Ellis Martin is located at 1709 Colley Ave Ste 203, Norfolk, VA 235171675.
What is the Frederick Ellis Martin's specialty and taxonomy code?
The Frederick Ellis Martin's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Frederick Ellis Martin receive its 1134339294 assignment?
The Frederick Ellis Martin was assigned its 1134339294 on 2007-05-23, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Frederick Ellis Martin most recently updated or revised?
The information pertaining to Frederick Ellis Martin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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