John C. Martin D.m.d, M.s.

NPI #1194878900 in Bogart, Georgia

Provider Information

NPI Number: 1194878900
Entity Type: Organization
Organization Name: John C. Martin D.m.d, M.s.
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Jan 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4011 ATLANTA HWY
City: Bogart
State: Georgia
ZIP Code: 30622-2212
Phone: (706) 353-1700

Authorized Official

Name: DR. JOHN C MARTIN, D.M.D., M.S.
Title: DOCTOR OWNER
Phone: (706) 353-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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