# MARTIN DENTISTRY PC

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

## Provider details

- **NPI number:** 1487222444
- **Legal business name:** MARTIN DENTISTRY PC
- **Authorized official:** BECKY ARNOLD (REVENUE MANAGER)
- **Authorized official phone:** (423) 247-8172

## Contact information

- **Practice address:** 4260 FORT HENRY DR STE 13, KINGSPORT, TN 37663-2248
- **Practice address phone:** (423) 247-8172
- **Mailing address:** 4260 FORT HENRY DR STE 13, KINGSPORT, TN 37663-2248
- **Mailing address phone:** (423) 247-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2021
- **Last updated:** 07/22/2021