# B. MARTIN DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Dental Care of Zillah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609168756
- **Authorized official:** DR. BRENT E MARTIN DMD (DOCTOR/OWNER)
- **Authorized official phone:** (509) 314-6600

## Contact information

- **Practice address:** 812 ZILLAH WEST RD, ZILLAH, WA 98953
- **Practice address phone:** (509) 829-6288
- **Practice address fax:** (509) 314-6603
- **Mailing address:** 812 ZILLAH WEST RD, ZILLAH, WA 98953
- **Mailing address phone:** (509) 829-6288
- **Mailing address fax:** (509) 314-6603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2011
- **Last updated:** 02/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2251024 | — | WA |
| 05 | — | 5057039 | — | WA |