Jeanne E Martin, Dmd

NPI #1619248994 in Corbin, Kentucky

Provider Information

NPI Number: 1619248994
Entity Type: Organization
Organization Name: Jeanne E Martin, Dmd
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 19, 2012
Last Updated: Jan 19, 2012

Practice Location

Address: 406 MASTER ST
City: Corbin
State: Kentucky
ZIP Code: 40701-1054
Phone: (606) 528-3540

Authorized Official

Name: DR. JEANNE E MARTIN, DMD
Title: GENERAL DENTIST
Phone: (606) 528-3540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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