Organization
DRS MARTIN & KIRK PLLC
Active
Other names
Teays Valley Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PATRICK MARTIN DDS (PEDIATRIC DENTIST)
(304) 201-8500
Entity
Organization
Contact information
Practice address
3659 TEAYS VALLEY ROAD, SUITE 100, HURRICANE, WV 25526-9701
(304) 201-8500
(304) 201-8505
Mailing address
PO BOX 581, HURRICANE, WV 25526-0581
(304) 201-8500
(304) 201-8505
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
WV3264
WV
1223P0221X
Pediatric Dentistry
WV3568
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002523
—
WV
Enumeration date
01/29/2007
Last updated
08/22/2020
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