Eddy Dale Martin in Lake Worth - Pediatric Dentistry
Eddy Dale Martin - NPI 1144261975
Eddy Dale Martin is a Pediatric Dentistry in Lake Worth, Texas. Eddy Dale Martin practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Eddy Dale Martin is 1144261975. The last update date is 2007-07-08.
Eddy Dale Martin'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 Eddy Dale Martin is 3904 Boat Club Rd, Lake Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eddy Dale Martin |
|---|---|
| Address | 3904 Boat Club Rd, Lake Worth, Texas |
| Phone Number | 8172386450 |
| Fax Number | 8172386497 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1144261975 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2007-07-08 |
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 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Eddy Dale Martin by the Centers for Medicare & Medicaid Services?
The Eddy Dale Martin has been issued the NPI (National Provider Identifier) 1144261975, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Eddy Dale Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eddy Dale Martin is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When did the Eddy Dale Martin receive its 1144261975?
The Eddy Dale Martin was issued its 1144261975 on 2006-06-10, which is the date when the organization was assigned this unique identifier.
On what date did the Eddy Dale Martin receive its 1144261975 assignment from the Centers for Medicare & Medicaid Services?
The Eddy Dale Martin was assigned its 1144261975 by the Centers for Medicare & Medicaid Services on 2006-06-10.
As of what date were the details related to Eddy Dale Martin most recently updated or revised?
The information pertaining to Eddy Dale Martin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.