# TRIDENT PODIATRY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174785703
- **Authorized official:** DR. DENNIS EMERSON MARTIN D.P.M. (DOCTOR)
- **Authorized official phone:** (843) 553-2235

## Contact information

- **Practice address:** 9279 MEDICAL PLAZA DR, SUITE D, NORTH CHARLESTON, SC 29406-9141
- **Practice address phone:** (843) 553-2235
- **Practice address fax:** (843) 553-2275
- **Mailing address:** 9279 MEDICAL PLAZA DR, SUITE D, NORTH CHARLESTON, SC 29406-9141
- **Mailing address phone:** (843) 553-2235
- **Mailing address fax:** (843) 553-2275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 114 | SC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 114 | SC | — |

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 06/25/2009
