Individual
BRIAN STEPHEN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
45TH AND PENN AVENUE, 3RD FLOOR MAIN HOSPITAL, PITTSBURGH, PA 15201
(412) 692-6805
(412) 692-7946
Mailing address
45TH AND PENN AVENUE, 7TH FLOOR FACULTY BUILDING, PITTSBURGH, PA 15201
(412) 692-6805
(412) 692-7946
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS031029L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017923280001
—
PA
01
—
123088
UNISON HEALTH PLAN
PA
01
—
12482
DORAL DENTAL
PA
01
—
920278
UNITED CONCORDIA
PA
Enumeration date
06/26/2006
Last updated
05/06/2009
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