Individual
DR. THOMAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
505 MYATT DR, MADISON, TN 37115-2451
(615) 865-2260
Mailing address
505 MYATT DR, MADISON, TN 37115-2451
(615) 865-2260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012522A
IN
Other
Enumeration date
06/09/2016
Last updated
09/12/2024
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