| Dr. Robert Martino, Pllc | |
|
1402 Buckhannon Pike Suite A Nutter Fort WV 26301-4494 | |
| (304) 933-5300 | |
| (304) 933-3633 |
| Full Name | Dr. Robert Martino, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1402 Buckhannon Pike, Nutter Fort, West Virginia |
| Authorized Official Name and Position | Robert V Martino (OWNER) |
| Authorized Official Contact | 3049335300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Robert Martino, Pllc 2000 Industrial Rd E Suite 200 Bridgeport WV 26330-1297 Ph: (304) 933-5300 | Dr. Robert Martino, Pllc 1402 Buckhannon Pike Suite A Nutter Fort WV 26301-4494 Ph: (304) 933-5300 |
| NPI Number | 1982067153 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 04/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982067153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3963 (West Virginia) | Secondary |
| 122300000X | Dentist | 3070 (West Virginia) | Primary |