JASON E. MARTIN, DDS, PA (NPI# 1417160177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417160177 |
| Entity Type | Organization |
| Organization Name | JASON E. MARTIN, DDS, PA |
| Practice Address |
236 Market Street Suite 200 Locust NC 28097 |
| Practice Telephone | 7047810500 |
| Practice Fax Number | 7047810555 |
| Mailing Telephone | 7047810500 |
| Mailing Fax Number | 7047810555 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-01-21 |
| Authorized Official Name | DR. JASON ELLIS MARTIN (DENTIST) |
| Authorized Official Telephone | 7047810500 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8173 | NC | Dental Providers |
| Street Address |
236 MARKET STREET SUITE 200 |
| City | LOCUST |
| State | NC |
| Zip Code | 28097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184841280 | Community Pharmacy of Locust LLC. | Durable Medical Equipment & Medical Supplies | 236 Market Street, Suite 100, Locust, NC 28097 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477906063 | Amanda Tucker Queen | Massage Therapist | 117 Renee Ford Rd, Locust, NC 28097 | 2016-07-19 |
| 1558487991 | First Care Medical Clinic | Pediatrics | 210 West Main Street, Locust, NC 28097 | 2007-03-21 |
| 1639778905 | Intentional Growth Behavioral Health Services, Pllc | Social Worker | 544 Contentment Dr, Locust, NC 28097-0045 | 2020-10-19 |
| 1356575005 | Raymond Ross Perez | Family Medicine | 236 Market St Ste 110, Locust, NC 28097-1312 | 2009-05-11 |
| 1356358576 | Robert Lee Seymour | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2006-08-01 |
| 1639618713 | Wael Zeitouni, Dds, Pllc | Dentist | 403 S Central Ave, Locust, NC 28097-7142 | 2017-02-22 |
| 1912131384 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1876 Main St W, Locust, NC 28097-7700 | 2009-05-13 |
| 1093926503 | Jan Gail Hardcopf -bickley | Occupational Therapist | 1800 Main St W, Locust, NC 28097-7700 | 2007-05-25 |
| 1528604907 | Bernard Nelson | Pharmacist | 1876 Main St W, Locust, NC 28097-7700 | 2019-11-21 |
| 1932743838 | Megan Nicole Reddy | Physical Therapist | 1800 Main St W, Locust, NC 28097-7700 | 2019-11-04 |
| Find all providers in zip 28097 | ||||
| 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 |
|---|---|---|---|---|
| 1881078244 | Jonathan Brune | Dentist | 236 Market St Ste 200, Locust, NC 28097-9439 | 2015-07-16 |
| 1619073533 | Jason Ellis Martin | Dentist | 236 Market St, Suite 200, Locust, NC 28097-9438 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
| 1750997110 | William James Graham Iv | Dentist | Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 | 2020-09-21 |
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1205440344 | Sahil Bhardwaj | Dentist | 1432 E Main St, Lincolnton, NC 28092-3902 | 2020-09-05 |
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JASON E. MARTIN, DDS, PA.
| 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.