| J Chris Martin Dmd Pc | |
|
1625 Commercial St Se Salem OR 97302-4311 | |
| (503) 858-8420 | |
| (503) 581-3897 |
| Full Name | J Chris Martin Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1625 Commercial St Se, Salem, Oregon |
| Authorized Official Name and Position | Cody Martin (VP) |
| Authorized Official Contact | 5035858420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Chris Martin Dmd Pc 1625 Commercial St Se Salem OR 97302-4311 Ph: (503) 858-8420 | J Chris Martin Dmd Pc 1625 Commercial St Se Salem OR 97302-4311 Ph: (503) 858-8420 |
| NPI Number | 1326191131 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326191131 | NPI | - | NPPES |
| 235820 | Other | OR | OREGON HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4747 (Oregon) | Primary |
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