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.
|Practice Location|| 405 N Clark Ave, Magnolia, MS 39652-2609, US |
|Practice Location Phone||601-783-2606|
|Practice Location Fax||601-783-0572|
|Legal Business Name||BRYAN B. MARTIN, DMD, LLC|
|Enumeration Date ? ||Apr 28, 2011|
|Last Update Date ? ||Apr 28, 2011|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Bryan B. Martin, Dmd, Llc
|Specialty||Provider Type||Specialization||License||License State|
|Dentist||Dental Providers||General Practice ||3453.08||Mississippi|
|Dentist||Dental Providers||General Practice ||22474||Texas|
Legacy Provider IDs of Bryan B. Martin, Dmd, Llc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||DOCTOR/OWNER|
|Authorized Official Phone Number||601-783-2606|