Organization
COMMACK ENDODONTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN A MARTIN DMD (DR OWNER)
(631) 462-4600
Entity
Organization
Contact information
Practice address
164 COMMACK RD, STE #7, COMMACK, NY 11725-3430
(631) 462-4600
(631) 462-4602
Mailing address
164 COMMACK RD, STE #7, COMMACK, NY 11725-3430
(631) 462-4600
(631) 462-4602
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/03/2005
Last updated
08/22/2020
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