DEAN E. MARTIN, M.D., PC; NPI #1346342664

Contact Information

DEAN E. MARTIN, M.D., PC

2121 S COLUMBIA AVE
SUITE 301
TULSA, OK 74114-3505

Phone: 918-749-2463
Fax: 918-749-2838
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Child & Adolescent Psychiatry	2084P0804X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for DEAN E. MARTIN, M.D., PC

NPI Number 1346342664

LBN Legal business name DEAN E. MARTIN, M.D., PC

Authorized official DEAN MARTIN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/05/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

OK	License #	13789
OK	Other	446545683-003	BCBS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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