Active NPIIndividual provider

Dr. Derek M Martin, DMD

Dentist in Hyde Park, Massachusetts

NPI Number1952662132
Practice location
1259 Hyde Park Ave, Hyde Park, MA 02136-2817
Fax
—
Last updated
June 4, 2012

Derek Michael Martin is a Dentist based in Hyde Park, MA. Derek Michael Martin practices in Hyde Park, MA and has the professional credentials of DMD. The NPI Number for Derek Michael Martin is 1952662132 and holds a License No. DN1855962 (MA). The current practice location address for Derek Michael Martin is 1259 Hyde Park Ave, Hyde Park, MA 02136-2817 and can be reached out via phone at 617-364-5500.

Provider Profile Details

NPI Number
1952662132
Provider Name
Derek Michael Martin
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1259 Hyde Park Ave, Hyde Park, MA 02136-2817
Phone Number
617-364-5500
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2012
Last Update Date
June 4, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1259 Hyde Park Ave
Hyde Park, MA 02136-2817
Zip
02136-2817
Phone Number
617-364-5500
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
1259 Hyde Park Ave
Hyde Park, MA 02136-2817
City
Hyde Park
State
MA
Zip
02136-2817
Phone Number
508-579-8698

License Information

License Number
DN1855962
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

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

Other Dentists near Hyde Park, MA

View all Dentists in Hyde Park →

Frequently Asked Questions

What is the NPI number of Dr. Derek M Martin, DMD?

The NPI number of Dr. Derek M Martin, DMD is 1952662132. It was assigned on June 4, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Derek M Martin, DMD?

Dr. Derek M Martin, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1855962.

Where does Dr. Derek M Martin, DMD practice?

The practice location is 1259 Hyde Park Ave, Hyde Park, MA 02136-2817. The office can be reached at 617-364-5500 (phone).

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 1952662132 directly on the NPPES registry website.

Browse related providers