Individual
DR. RONALD M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-019158-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005247250001
—
PA
05
—
0005247250002
—
PA
01
—
18604
HEALTH AM/HEALTH ASSURANC
PA
01
—
50004505
CAPITAL BLUE CROSS
PA
01
—
99919158
DELTA DENTAL OF PA
PA
01
—
MA035691
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/21/2006
Last updated
01/29/2008
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