DR. C. ALLEN MARTIN JR. (NPI# 1003894536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003894536 |
| Entity Type | Individual |
| Full Name | DR. C. ALLEN MARTIN JR. |
| Credential | DMD |
| Practice Address |
801 University Blvd S Suite D Mobile AL 36609-2923 |
| Practice Telephone | 2513446191 |
| Practice Fax Number | 2513446794 |
| Mailing Telephone | 2513446191 |
| Mailing Fax Number | 2513446794 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2724 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | UNITED CONCORDIA | 453370 | 01 |
| AL | BCBS | 94321 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447313051 | C. Douglas Martin | Dentist | 202 Inverness Center Dr, Suite 301, Birmingham, AL 35242-7633 | 2006-12-18 |
| Street Address |
801 UNIVERSITY BLVD S SUITE D |
| City | MOBILE |
| State | AL |
| Zip Code | 36609-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265655377 | Jan Adams | Dentist | 801 University Blvd S, Suite C, Mobile, AL 36609-2923 | 2007-04-10 |
| 1871623736 | Stephen Everett Greenleaf IIi | Dentist | 801 University Blvd S, Ste B, Mobile, AL 36609-2923 | 2007-03-07 |
| 1104956069 | Earl Gaines Thomas | Dentist | 801 University Blvd S, Ste B, Mobile, AL 36609-2923 | 2007-03-07 |
| 1437289303 | South Alabama Pediatric Dentistry LLC | Dentist | 801 University Blvd S, Ste B, Mobile, AL 36609-2923 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698309 | Bhg Lxxii, LLC | Clinic/Center | 4373 Dowtowner Loop South, Suite A, Mobile, AL 36609 | 2020-10-26 |
| 1760036008 | Jesse David Schultz | Chiropractor | 3501 Montlimar Plaza Drive, Mobile, AL 36609 | 2019-07-25 |
| 1982267241 | Raqueal L. Williams | Registered Nurse | 406 Larose Dr., Mobile, AL 36609 | 2019-04-22 |
| 1588131924 | Angela Roney | Counselor | 705 Oak Circle Dr. East, Mobile, AL 36609 | 2018-10-24 |
| 1134617996 | Harley Michelle Oliver | Physician Assistant | 820 S. University Blvd Bldg 1, Suite 1b, Mobile, AL 36609 | 2018-04-27 |
| 1912420126 | Rural Urgent Care LLC | Clinic/Center | 6280 Grelot Road, Mobile, AL 36609 | 2017-07-19 |
| 1598128407 | Trisha Mcmillon | Counselor | 3929 Airport Blvd Ste 1-214, Mobile, AL 36609 | 2016-03-30 |
| 1437523347 | Sonya White D.d.s. PC | Dentist | 6309 Piccadilly Square Dr., Mobile, AL 36609 | 2015-11-17 |
| 1386913374 | Janis Marie Fausser | Pharmacist | 5705 Cottagehill Rd, Mobile, AL 36609 | 2011-12-20 |
| 1245524263 | Emily Chisholm | Physical Therapist | 1515 University Blvd. S., Mobile, AL 36609 | 2011-06-07 |
| Find all providers in zip 36609 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114088515 | Christopher D Mullenix | Dentist | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2006-12-12 |
| 1164400669 | Robert C Pfeffle | Dentist | 5901 Grelot Rd, Mobile, AL 36609-3603 | 2006-01-04 |
| 1396936589 | Ryan Stephen Sheppard | Dentist | 5901 Grelot Rd, Mobile, AL 36609-3603 | 2007-08-05 |
| 1063568848 | Charles Black IIi Dmd Pa | Dentist | 4728 Airport Blvd, Suite C, Mobile, AL 36608 | 2007-01-26 |
| 1730240870 | Joseph W Gunter | Dentist | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2006-12-13 |
| 1124189279 | Christopher Mullenix, Dmd, Md, PC | Dentist | 715 Downtowner Blvd, Mobile, AL 36609-5401 | 2006-12-13 |
| 1730104035 | David A Lairmore | Dentist | 6701 Airport Blvd, Suite D-238, Mobile, AL 36608-6705 | 2006-07-13 |
| 1699753111 | Gregory A Zieman | Dentist | 5901 Grelot Rd, Mobile, AL 36609-3603 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336632561 | Gardendale Oral Surgery, P.C. | Dentist | 919 Sharit Ave Ste 201, Gardendale, AL 35071 | 2018-06-12 |
| 1275059941 | Birmingham Oms Oral Facial & Implant Surgery LLC | Dentist | 4244 Cahaba Heights Ct Ste 300, Vestavia, AL 35243-5711 | 2017-08-15 |
| 1407267321 | Walter Harris Wilson | Dentist | 2290 Valleydale Rd Ste 100, Hoover, AL 35244-2113 | 2014-05-13 |
| 1104168244 | David W Davis | Dentist | 901 Leighton Ave Ste 401, Anniston, AL 36207-5703 | 2013-03-26 |
| 1942575444 | Medwell Duncan Dental | Dentist | 2705 Pelham Pkwy, Pelham, AL 35124-1704 | 2012-03-15 |
| 1578855078 | David G Minto Jr. | Dentist | 19748 Greeno Rd, Fairhope, AL 36532-3836 | 2011-05-03 |
| 1134359664 | Florence Oral and Maxillofacial Surgery | Dentist | 154 Titan Drive, Florence, AL 35630 | 2009-07-17 |
| 1396991899 | Sam Enoch Pruett Jr. | Dentist | 2816 Bunny Ln Sw, Decatur, AL 35603-4250 | 2008-08-15 |
| 1124236047 | Thomas Hughes Fuqua Jr. | Dentist | 747 N Dean Rd, Auburn, AL 36830-4027 | 2007-05-21 |
| 1710196506 | Lisa Miller | Dentist | 1 Inverness Center Pkwy Ste 200, Birmingham, AL 35242-4865 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.