# JOHN MARTIN DDS PC

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

## Provider details

- **NPI number:** 1770594178
- **Authorized official:** DR. JOHN MILTON MARTIN DDS (OWNER)
- **Authorized official phone:** (615) 851-9999

## Contact information

- **Practice address:** 2020 CALDWELL DR, SUITE 3, GOODLETTSVILLE, TN 37072-3130
- **Practice address phone:** (615) 851-9999
- **Practice address fax:** (615) 851-6771
- **Mailing address:** 2020 CALDWELL ROAD, SUITE 3, GOODLETTSVILLE, TN 37072
- **Mailing address phone:** (615) 851-9999
- **Mailing address fax:** (615) 851-6771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2897 | TN | Yes |
| 1223G0001X | General Practice Dentistry | 8404 | TN | — |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/26/2008