Individual
MARTIN D MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2888 SR 29S STE 1, MONROE NOXEN HEALTH CENTER, MONROE TOWNSHIP, PA 18636-9766
(570) 298-2161
(570) 298-2148
Mailing address
1084 ROUTE 315, WILKES-BARRE, PA 18702-7012
(570) 825-8741
(570) 825-8990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS022967L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008588550002
—
PA
Enumeration date
10/23/2006
Last updated
09/15/2015
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