# MARTIN & MARTIN DDS PC

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

## Provider details

- **NPI number:** 1376659755
- **Authorized official:** DR. STEPHANIE L MARTIN DDS (DENTIST OWNER)
- **Authorized official phone:** (317) 257-9103

## Contact information

- **Practice address:** 1927 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220
- **Practice address phone:** (317) 257-9103
- **Practice address fax:** (317) 257-0931
- **Mailing address:** 1927 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220
- **Mailing address phone:** (317) 257-9103
- **Mailing address fax:** (317) 257-0931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | IN12009976 | IN | — |
| 122300000X | Dentist | IN12010059 | IN | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 08/22/2020