Search › Louisiana › 122300000X
Jeff Martin, DDS
NPI 1902998164 · on the registry since 2006 · sole proprietor
Practice
- Address
- 416 Ashley Ridge Blvd
Shreveport, LA 71106 - Phone
- (318) 865-4091
- Organisation at this address
- Jeffrey Lee Martin, Dmd A Professional Dental Corp.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana