DR. Scott Dean Martin, D.D.S.
NPI #1801911375 in Charleston, Illinois
Provider Information
- NPI Number
- 1801911375
- Entity Type
- Individual
- Name
- DR. Scott Dean Martin, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Mar 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 224 W GRANT AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-3343
- Phone
- (217) 348-1610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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|---|---|
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