Organization
GERALD T. MARTIN, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD T MARTIN D.D.S. (DENTIST)
(931) 684-6351
Entity
Organization
Contact information
Practice address
2012 N MAIN ST, SHELBYVILLE, TN 37160-2022
(931) 684-6351
Mailing address
2012 N MAIN ST, SHELBYVILLE, TN 37160-2022
(931) 684-6351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881685725
NPI INDIVIDUAL
TN
Enumeration date
07/12/2011
Last updated
07/12/2011
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