E. Dale Martin, D.D.S., M.S.D., P.C. in Lake Worth - Pediatric Dentistry

E. Dale Martin, D.D.S., M.S.D., P.C. - NPI 1689611527

E. Dale Martin, D.D.S., M.S.D., P.C. is a Pediatric Dentistry in Lake Worth, Texas. E. Dale Martin, D.D.S., M.S.D., P.C. practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for E. Dale Martin, D.D.S., M.S.D., P.C. is 1689611527. The last update date is 2020-08-22.

E. Dale Martin, D.D.S., M.S.D., P.C.'s current location address is 3904 Boat Club Rd, Lake Worth, Texas. You can contact this provider via phone number 8172386450 and fax number 8172386497. The mailing address for E. Dale Martin, D.D.S., M.S.D., P.C. is 3904 Boat Club Rd, Lake Worth, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization E. Dale Martin, D.D.S., M.S.D., P.C.
Address 3904 Boat Club Rd, Lake Worth, Texas
Phone Number 8172386450
Fax Number 8172386497
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Martin Dale Eddy
Credentials D.D.S.
Telephone Number 8172386450

NPI Number Detail

NPI Number 1689611527
Provider Enumeration Date 2006-05-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3904 Boat Club Rd
City Lake Worth
State Texas (TX)
Post Code 761353201
Phone Number 8172386450
Fax Number 8172386497

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 13263
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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FAQs about E. Dale Martin, D.D.S., M.S.D., P.C.

What is the unique identification code assigned to E. Dale Martin, D.D.S., M.S.D., P.C. by the Centers for Medicare & Medicaid Services?

The E. Dale Martin, D.D.S., M.S.D., P.C. has been issued the NPI (National Provider Identifier) 1689611527. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the E. Dale Martin, D.D.S., M.S.D., P.C. located?

The E. Dale Martin, D.D.S., M.S.D., P.C. is located at 3904 Boat Club Rd, Lake Worth, TX 761353201.

What is E. Dale Martin, D.D.S., M.S.D., P.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for E. Dale Martin, D.D.S., M.S.D., P.C. is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.

On what date did the E. Dale Martin, D.D.S., M.S.D., P.C. receive the assignment of its 1689611527 from the Centers for Medicare & Medicaid Services?

The E. Dale Martin, D.D.S., M.S.D., P.C. was issued its 1689611527 by the Centers for Medicare & Medicaid Services on 2006-05-31.

As of what date was the information pertaining to E. Dale Martin, D.D.S., M.S.D., P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to E. Dale Martin, D.D.S., M.S.D., P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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