# MARTIN DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARTIN DENTISTRY PC
- **Other names:** Martin Dentistry of Johnson City
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790357457
- **Legal business name:** MARTIN DENTISTRY PC
- **Authorized official:** REBECCA ARNOLD (REVENUE MANAGER)
- **Authorized official phone:** (423) 247-8172

## Contact information

- **Practice address:** 135 MARKETPLACE DR STE 101, JOHNSON CITY, TN 37604-8933
- **Practice address phone:** (423) 247-8172
- **Mailing address:** 135 MARKETPLACE DR STE 101, JOHNSON CITY, TN 37604-8933
- **Mailing address phone:** (423) 247-8172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2021
- **Last updated:** 07/23/2021