Individual
DR. BRENT D MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3131 S STATE ST STE 309, ANN ARBOR, MI 48108-1658
(503) 906-7300
Mailing address
3287 AQUINAS DR, ROCHESTER HILLS, MI 48309-1212
(618) 401-3727
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
19025300
IL
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
19025300
IL
Other
Enumeration date
05/08/2008
Last updated
04/23/2026
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