# DR. ROBERT MARTINO, PLLC

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

## Provider details

- **NPI number:** 1982067153
- **Authorized official:** ROBERT V MARTINO DDS (OWNER)
- **Authorized official phone:** (304) 933-5300

## Contact information

- **Practice address:** 1402 BUCKHANNON PIKE, SUITE A, NUTTER FORT, WV 26301-4494
- **Practice address phone:** (304) 933-5300
- **Practice address fax:** (304) 933-3633
- **Mailing address:** 2000 INDUSTRIAL RD E, SUITE 200, BRIDGEPORT, WV 26330-1297
- **Mailing address phone:** (304) 933-5300
- **Mailing address fax:** (304) 933-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3070 | WV | Yes |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | 3963 | WV | — |

## Other

- **Enumeration date:** 04/04/2016
- **Last updated:** 04/04/2016