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Organization
MARTIN DENTISTRY PC
Active
Organization
MARTIN DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ARNOLD (REVENUE MANAGER)
(423) 247-8172
Entity
Organization
Contact information
Practice address
1599 FORT HENRY DR, SUITE 102, KINGSPORT, TN 37664-2535
(423) 247-8172
(423) 392-8253
Mailing address
1599 FORT HENRY DR, SUITE 102, KINGSPORT, TN 37664-2535
(423) 247-8172
(423) 392-8253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/31/2008
Last updated
07/22/2021
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