Organization
MARTIN ORAL AND MAXILLOFACIAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANDREW MARTIN D.M.D., M.D. (OWNER)
(662) 323-3801
Entity
Organization
Contact information
Practice address
101 WALKER WAY, STARKVILLE, MS 39759
(662) 323-3801
(662) 323-3121
Mailing address
PO BOX 770, STARKVILLE, MS 39760-0770
(662) 323-3801
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
352809
MS
Other
Enumeration date
01/05/2010
Last updated
01/07/2016
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