C. Gregory Martin, Dds, Pa

NPI 1073651949 - Dentist - 122300000X

NPI Details
NPI 1073651949
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES GREGORY CHARLES
Position OWNER
Phone (704) 399-4531
Fax
Practice Location
2842 BOYER ST
CHARLOTTE NC, 28208-0702, US
Phone (704) 399-4531
Fax
Business Location
2842 BOYER ST
CHARLOTTE NC, 28208-0702, US
Phone (704) 399-4531
Fax
Toxanomy
Taxonomy Code 122300000X
License State North Carolina
License Number 5826
Remove 1073651949 NPI Number
 

According to our database, C. Gregory Martin, Dds, Pa NPI is 1073651949, taxonomy code is 122300000X and license number is 5826, license state is located at North Carolina. C. Gregory Martin, Dds, Pa physically located at 2842 Boyer St, Charlotte NC, 28208-0702. NPI Number 1033115704 has the healthcare provider type.

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1073651949 NPI number is provided on an as is basis without warranty of any kind. 1073651949 is maintained by the National Plan & Provider Enumeration System. The contents of C. Gregory Martin, Dds, Pa are for informational purposes only.