Individual
CRAIG T. MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1850 HOWELL MILL RD NW APT 427, ATLANTA, GA 30318-3242
(912) 978-0005
Mailing address
1850 HOWELL MILL RD NW APT 427, ATLANTA, GA 30318-3242
(912) 978-0005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11197
GA
1223G0001X
General Practice Dentistry
Primary
DN011197
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00577332B
—
GA
01
—
581269769
TAX IDENTIFICATION NUMBER
GA
Enumeration date
08/05/2006
Last updated
01/29/2026
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