# DANA J MARTIN DDS PC

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

## Provider details

- **NPI number:** 1689750457
- **Authorized official:** DR. DANA J MARTIN DDS (DENTIST)
- **Authorized official phone:** (405) 238-2222

## Contact information

- **Practice address:** 1600 AIRLINE ROAD, PAULS VALLEY, OK 73075
- **Practice address phone:** (405) 238-2222
- **Practice address fax:** (405) 238-5181
- **Mailing address:** 1600 AIRLINE ROAD, PAULS VALLEY, OK 73075
- **Mailing address phone:** (405) 238-2222
- **Mailing address fax:** (405) 238-5181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5200 | OK | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 08/22/2020