# JEFFREY L. MARTIN DDS,P.A.

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

## Provider details

- **NPI number:** 1942642350
- **Authorized official:** DR. JEFFREY L MARTIN DDS (PRACTICE OWNER)
- **Authorized official phone:** (903) 223-0575

## Contact information

- **Practice address:** 2700 RICHMOND RD, SUITE 21, TEXARKANA, TX 75503-5200
- **Practice address phone:** (903) 223-0575
- **Practice address fax:** (903) 831-5765
- **Mailing address:** 2700 RICHMOND RD, SUITE 21, TEXARKANA, TX 75503-5200
- **Mailing address phone:** (903) 223-0575
- **Mailing address fax:** (903) 831-5765

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 27810 | TX | Yes |

## Other

- **Enumeration date:** 07/26/2013
- **Last updated:** 07/26/2013
