Organization
MARTIN, DDS PLLC
Active
Other names
Young Smiles WV
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARREL R MARTIN II DDS (MEMBER/OWNER)
(304) 419-0125
Entity
Organization
Contact information
Practice address
140 7TH AVE, SOUTH CHARLESTOWN, WV 25303
(304) 342-4422
(304) 400-4986
Mailing address
140 7TH AVE, SOUTH CHARLESTOWN, WV 25303
(304) 342-4422
(304) 400-4986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3945
WV
1223P0221X
Pediatric Dentistry
Primary
3827
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000582
—
WV
Enumeration date
10/16/2013
Last updated
06/17/2020
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