# NATHAN S. MARTIN, DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northside Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497153142
- **Authorized official:** DR. NATHAN S MARTIN D.D.S. (OWNER/DENTIST)
- **Authorized official phone:** (317) 519-6978

## Contact information

- **Practice address:** 625 E BRISTOL ST STE A, ELKHART, IN 46514-3476
- **Practice address phone:** (317) 519-6978
- **Mailing address:** 7933 WINDHILL DR, INDIANAPOLIS, IN 46256-1820
- **Mailing address phone:** (317) 519-6978

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12012108A | IN | Yes |

## Other

- **Enumeration date:** 12/11/2014
- **Last updated:** 12/11/2014