# MARTIN DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARTIN DENTISTRY
- **Other names:** Martin Dentistry of Elizabethton
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215502554
- **Legal business name:** MARTIN DENTISTRY
- **Authorized official:** BECKY ARNOLD (REVENUE MANGER)
- **Authorized official phone:** (423) 543-6444

## Contact information

- **Practice address:** 407 HUDSON DR, ELIZABETHTON, TN 37643-2888
- **Practice address phone:** (423) 543-6444
- **Mailing address:** 407 HUDSON DR, ELIZABETHTON, TN 37643-2888
- **Mailing address phone:** (423) 543-6444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/20/2021
- **Last updated:** 07/23/2021