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Contact Information

MARTIN DENTAL ASSOCIATES PC
501 NORTH MAIN STREET
FLORA, IL62839
 Phone: 618-662-2025
 Fax: 618-662-2911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARTIN DENTAL ASSOCIATES PC

NPI Number 1043365968
LBN Legal business name MARTIN DENTAL ASSOCIATES PC
Authorized official HAROLD MARIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IL Medicaid 101453
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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