# NATHAN R. MARTZKE DDS PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Dentistry of Royal Oak
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750013819
- **Authorized official:** COLLEEN DIANE SHELTON (ADMIN)
- **Authorized official phone:** (248) 544-7200

## Contact information

- **Practice address:** 1619 N MAIN ST, ROYAL OAK, MI 48067-1320
- **Practice address phone:** (248) 544-7200
- **Practice address fax:** (248) 544-7254
- **Mailing address:** 1619 N MAIN ST, ROYAL OAK, MI 48067-1320
- **Mailing address phone:** (248) 544-7200
- **Mailing address fax:** (248) 544-7254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 06/28/2022