Active NPIIndividual providerSole proprietor

Brian C Martin, DDS

Dentist, General Practice in West Orange, New Jersey

NPI Number1083699086
Practice location
622 Eagle Rock Ave, Suite 105, West Orange, NJ 07052-2994
Fax
973-325-1183
Last updated
December 10, 2012

Brian Calvin Martin is a Dentist, General Practice based in West Orange, NJ. Brian Calvin Martin practices in West Orange, NJ and has the professional credentials of DDS. The NPI Number for Brian Calvin Martin is 1083699086 and holds a License No. DI021673 (NJ). The current practice location address for Brian Calvin Martin is 622 Eagle Rock Ave, Suite 105, West Orange, NJ 07052-2994 and can be reached out via phone at 973-325-1011 and via fax at 973-325-1183.

Provider Profile Details

NPI Number
1083699086
Provider Name
Brian Calvin Martin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
622 Eagle Rock Ave, Suite 105, West Orange, NJ 07052-2994
Phone Number
973-325-1011
Fax Number
973-325-1183
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 13, 2005
Last Update Date
December 10, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
622 Eagle Rock Ave
Suite 105
West Orange, NJ 07052-2994
Zip
07052-2994
Phone Number
973-325-1011
Fax Number
973-325-1183
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
622 Eagle Rock Ave
Suite 105
West Orange, NJ 07052-2994
City
West Orange
State
NJ
Zip
07052-2994
Phone Number
973-325-1011
Fax Number
973-325-1183

License Information

License Number
DI021673
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brian C Martin, DDS?

The NPI number of Brian C Martin, DDS is 1083699086. It was assigned on December 13, 2005 and is currently active in the NPPES registry.

What is the specialty of Brian C Martin, DDS?

Brian C Martin, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number DI021673.

Where does Brian C Martin, DDS practice?

The practice location is 622 Eagle Rock Ave, Suite 105, West Orange, NJ 07052-2994. The office can be reached at 973-325-1011 (phone) or 973-325-1183 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083699086 directly on the NPPES registry website.

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