DR. LEE JOSHUA MARTIN (NPI# 1053668830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053668830 |
| Entity Type | Individual |
| Full Name | DR. LEE JOSHUA MARTIN |
| Credential | D.M.D. |
| Practice Address |
112 Vilseck Rd Fort Stewart GA 31315 |
| Mailing Address |
154 Brianna Cir Savannah GA 31419-8148 |
| Practice Telephone | 9122577056 |
| Mailing Telephone | 9126599643 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN014447 | GA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28 Butler St, Midway, GA 313204294 | 9128802288 | |
| 1718 N Coastal Hwy, Midway, GA 313203415 | 9128802288 | |
| 109 Oglesby Ave, Garden City, GA 314081611 | 9129662102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113467 | Lee Baldwin Martin Jr. | Family Medicine | 437 N Park Dr, Ste 1, Arlington, VA 22203-2315 | 2005-09-01 |
| 1710485081 | Lee Elizabeth Martin | Physical Medicine & Rehabilitation | 641 Campus Dr, Stanford, CA 94305-6201 | 2018-01-31 |
| 1881857274 | Lee W. Martin | Social Worker | 1000 W Nifong Blvd, Columbia, MO 65203-5615 | 2008-07-07 |
| 1093763385 | Lee A Martin Jr. | Radiology | 200 W Academy Street, Gainesville, GA 30501 | 2006-05-05 |
| Street Address |
112 VILSECK RD |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588188791 | Nadia E Jeter | Social Worker | 140 Skyland Spruce Dr, Fort Stewart, GA 31315 | 2017-07-29 |
| 1740739358 | Graham Taylor | Physician Assistant | 8435 Vanguard Rd., Fort Stewart, GA 31315 | 2016-09-23 |
| 1205289865 | Glenda Ann Reed-withers | Dental Hygienist | 343 Warrior Road Building 2115, Fort Stewart, GA 31315 | 2016-07-19 |
| 1275940686 | Tarhonda Leah Ingram | Dentist | 112 Vilseck Road, Bldg. 419-2, Ft. Stewart, GA 31315 | 2014-07-17 |
| 1497866248 | Henry J Braner | Physician Assistant | 16th Street Building 13514, Youth Challange Academy, Ft Stewart, GA 31315 | 2006-08-31 |
| 1215981352 | Harry Nick Bobotis | Dentist | 112 Vilseck Road, Bldg 419-2, Fort Stewart, GA 31315 | 2006-05-22 |
| 1033665393 | Christopher David Johnson | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2016-08-28 |
| 1760886410 | Juliann Roman | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2014-10-09 |
| 1760754485 | Angelica Cecilia Kjonnerod | Physician Assistant | 192 Lindquist Road, Bldg 412, Fort Stewart, GA 31315 | 2012-01-27 |
| 1932478047 | Sarah G Talone | Registered Nurse | 6 Red Bud Dr, Fort Stewart, GA 31315-1056 | 2011-12-19 |
| Find all providers in zip 31315 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245487958 | Dina E. Serna | Dentist | 343 Warrior Road, Bldg #2115, Fort Stewart, GA 31314 | 2008-08-25 |
| 1225096712 | Keith G. Wyckoff | Dentist | 351 W 6th St, Suite 100, Fort Stewart, GA 31314-4703 | 2006-05-03 |
| 1215917174 | Benjamin J. Mcgovern | Dentist | 531 East 9th St, Bldg 357, Us Army Dental Activity, Fort Stewart, GA 31314 | 2006-01-18 |
| 1235617283 | Anthony J Buono | Dentist | 351 W 6th Street, Fort Stewart, GA 31324 | 2018-08-01 |
| 1982872800 | Jean R Elysee | Dentist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2008-02-13 |
| 1780895920 | Hui-feng Chiu | Dentist | 1061 Harmon Ave, Fort Stewart, GA 31314 | 2007-05-26 |
| 1225257686 | John Heard Clements | Dentist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2007-04-24 |
| 1871642827 | Burgess Herbert Lee Jr. | Dentist | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2007-01-09 |
| 1962577734 | Steven Michael Brooks | Dentist | 351 W 6th Street, Attn: Credentials Office, Fort Stewart, GA 31314-4704 | 2006-11-21 |
| 1174613806 | Mason Patrick Sawyer | Dentist | 1061 Harmon Ave, 1d03, Fort Stewart, GA 31314 | 2006-10-13 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31315 |
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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.