Individual
DR. TIMOTHY ROSS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1599 FORT HENRY DRIVE, KINGSPORT, TN 37664
(423) 247-8172
(423) 392-8253
Mailing address
1599 FORT HENRY DRIVE, KINGSPORT, TN 37664
(423) 247-8172
(423) 392-8253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
TN2515
TN
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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