# MATTHEW B MARTIN DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Matthew B Martin DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780825703
- **Authorized official:** DR. MATTHEW BURGESS MARTIN DDS (PRESIDENT)
- **Authorized official phone:** (406) 452-2138

## Contact information

- **Practice address:** 2527 6TH AVE S, GREAT FALLS, MT 59405-3013
- **Practice address phone:** (208) 452-2138
- **Mailing address:** 409 RIVERVIEW DR E, GREAT FALLS, MT 59404-1553
- **Mailing address phone:** (406) 788-0762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2250 | MT | Yes |

## Other

- **Enumeration date:** 03/20/2009
- **Last updated:** 03/20/2009