Individual
DR. C. ALLEN MARTIN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 UNIVERSITY BLVD S, SUITE D, MOBILE, AL 36609-2923
(251) 344-6191
(251) 344-6794
Mailing address
801 UNIVERSITY BLVD S, SUITE D, MOBILE, AL 36609-2923
(251) 344-6191
(251) 344-6794
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2724
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
453370
UNITED CONCORDIA
AL
01
—
94321
BCBS
AL
Enumeration date
01/05/2006
Last updated
07/08/2007
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