# MARTIN R. MINIX D.M.D, P.S.C.

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

## Provider details

- **NPI number:** 1811266406
- **Authorized official:** DR. MARTIN RUSSELL MINIX D.M.D. (PRESIDENT)
- **Authorized official phone:** (606) 886-0808

## Contact information

- **Practice address:** 253 HAGER BR, EAST POINT, KY 41216-8766
- **Practice address phone:** (606) 886-0808
- **Practice address fax:** (606) 886-9584
- **Mailing address:** PO BOX 229, PRESTONSBURG, KY 41653-0229
- **Mailing address phone:** (606) 886-0808
- **Mailing address fax:** (606) 886-9584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6678 | KY | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 12/28/2011