# JUSTIN D MARTIN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oceanfront Endodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184749822
- **Authorized official:** DR. JUSTIN DAVID MARTIN DDS (PRESIDENT)
- **Authorized official phone:** (757) 333-3399

## Contact information

- **Practice address:** 1200 FIRST COLONIAL ROAD, SUITE 201, VIRGINIA BEACH, VA 23454
- **Practice address phone:** (757) 333-3399
- **Practice address fax:** (757) 333-4946
- **Mailing address:** 1200 FIRST COLONIAL ROAD, SUITE 201, VIRGINIA BEACH, VA 23454
- **Mailing address phone:** (757) 333-3399
- **Mailing address fax:** (757) 333-4946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 0401008614 | VA | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 845982 | UNITED CONCORDIA | — |