Home » Mississippi » 39652 » Bryan B. Martin, Dmd, Llc

Bryan B. Martin, Dmd, Llc

Bryan B. Martin, Dmd, Llc is a health care provider in Magnolia, MS. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 405 N Clark Ave, Magnolia, MS 39652-2609, US
Practice Location Phone601-783-2606
Practice Location Fax601-783-0572
Legal Business NameBRYAN B. MARTIN, DMD, LLC
NPI ?1710278429
Entity TypeOrganization
Enumeration Date ? Apr 28, 2011
Last Update Date ? Apr 28, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Bryan B. Martin, Dmd, Llc

SpecialtySpecializationLicenseLicense State
DentistGeneral Practice 3453.08Mississippi
DentistGeneral Practice 22474Texas

legacy-id-icon Legacy Provider IDs of Bryan B. Martin, Dmd, Llc

Provider IdIssuer StateIssuer TypeIssuer
07575621MississippiMedicaid
1932300977MississippiOtherINDIVIDUAL NPI

official-icon Authorized Official of Bryan B. Martin, Dmd, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Bryan B. Martin, Dmd, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Bryan B Martin (DMD)
Authorized Official Title/PositionDOCTOR/OWNER
Authorized Official Phone Number601-783-2606