Individual
RICHARD THOMAS MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3850 SOUTH NATIONAL AVENUE, SUITE 720, SPRINGFIELD, MO 65807
(417) 269-7525
(417) 269-7549
Mailing address
3850 SOUTH NATIONAL AVENUE, SUITE 720, SPRINGFIELD, MO 65807
(417) 269-7525
(417) 269-7549
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015922
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405176801
—
MO
Enumeration date
02/05/2007
Last updated
11/01/2022
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