Individual
ANTHONY ANDREW MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
248 N PETERS RD, SUITE 2, KNOXVILLE, TN 37923-4925
(865) 690-6691
Mailing address
161 CAPITAL DR 101, KNOXVILLE, TN 37922-3454
(865) 690-6691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000007674
TN
Other
Enumeration date
06/30/2006
Last updated
12/23/2015
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