Individual
DR. ROBERT ANDREW MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
101 WALKER WAY, STARKVILLE, MS 39759
(662) 323-3801
(662) 323-3121
Mailing address
101 WALKER WAY, STARKVILLE, MS 39759
(662) 323-3801
(662) 323-3121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3528-09
MS
122300000X
Dentist
5441
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
OS-427-10
MS
Other
Enumeration date
03/22/2008
Last updated
12/29/2015
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