BRENT ERICKSON MARTIN (NPI# 1447412580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447412580 |
| Entity Type | Individual |
| Full Name | BRENT ERICKSON MARTIN |
| Credential | D.M.D. |
| Practice Address |
1721 E Lincoln Ave Sunnyside WA 98944-2478 |
| Practice Telephone | 5098377178 |
| Practice Fax Number | 5098373117 |
| Mailing Telephone | 5098374022 |
| Mailing Fax Number | 5098394022 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2012-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DE60029611 | WA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 5057039 | 05 | |
| WA | WASHINGTON STATE DENTAL LICENSE | DE60029611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417081316 | Brent Curtis Martin | Physician Assistant | 10 Medical Center Blvd Ste C, Lufkin, TX 75904-3163 | 2007-03-15 |
| 1891743811 | Brent Leonard Martin | Dentist | 8380 City Centre Dr, Suite 120, Woodbury, MN 55125-5304 | 2006-05-04 |
| 1417560046 | Brent Martin | Pharmacist | 211 W College St, Colquitt, GA 39837-3403 | 2020-08-24 |
| 1265940365 | Brent A Martin | Registered Nurse | 2809 N Park Drive Ln, Appleton, WI 54911-1603 | 2018-01-11 |
| 1972990869 | Brent Charles Martin | Dermatology | 17271 Brookhurst St, Fountain Valley, CA 92708-3701 | 2015-04-19 |
| 1538336615 | Brent D Martin | Dentist | 3551 Roger Brooke Dr, Quality Services/7th Floor Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234-4504 | 2008-05-08 |
| 1427109875 | Brent Martin | Dentist | 1216 Farmington Ave, Suite 201, West Hartford, CT 06107-2672 | 2007-01-14 |
| Street Address |
1721 E LINCOLN AVE |
| City | SUNNYSIDE |
| State | WA |
| Zip Code | 98944-2478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396275822 | Preston Beitel | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2017-06-18 |
| 1750835849 | Lindsay A Mack | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2016-08-07 |
| 1407209893 | Phillip Don Quigley | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2016-07-20 |
| 1003272444 | Jason Porter | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2016-01-14 |
| 1346667292 | Walberto Cantu | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2014-03-27 |
| 1013285949 | Martin, Martin & Copeland Pllc | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2011-12-07 |
| 1508145160 | Sean Quigley | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2011-08-12 |
| 1134353550 | Martin, Martin & Copeland Pllc | Dentist | 1721 E Lincoln Ave, Sunnyside, WA 98944-2478 | 2009-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000463 | Paul Lobaugh | Specialist/Technologist, Other | Astia Sunnyside Hospital, 1016 Tacoma Avenue, Sunnyside, WA 98944 | 2019-02-25 |
| 1346723798 | Robert N Lewis | Counselor | 702 Franklin, Sunnyside, WA 98944 | 2018-09-12 |
| 1235678533 | Barbara Smail | Counselor | 702 Franklin Ave., Sunnyside, WA 98944 | 2017-02-20 |
| 1861890006 | Anne Concienne | Registered Nurse | 1801 E Lincoln Ave, Sunnyside, WA 98944 | 2014-12-19 |
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1861825853 | Anthony Edward Esparza Sr. | Counselor | 702 Franklin Avenue, Sunnyside, WA 98944 | 2013-08-14 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1700188984 | David Alan Hicks | Pharmacist | 613 Sixth, Sunnyside, WA 98944 | 2010-11-22 |
| 1700194396 | Health & Wellness Alliance | Case Manager/Care Coordinator | 922 E. Edison Avenue, 922 E. Edison Ave., Sunnyside, WA 98944 | 2010-09-17 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| Find all providers in zip 98944 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801202809 | B Martin and G Martin Pllc | Dentist | 1719 E. Lincoln Ave., Sunnyside, WA 98944 | 2014-07-10 |
| 1730435587 | Nathan R Watkins | Dentist | 1721 E. Lincoln Ave, Sunnyside, WA 98944 | 2012-07-31 |
| 1508112285 | Edit Avodian | Dentist | 4322 45th St Apt 4a, Sunnyside, NY 11104-2349 | 2012-07-31 |
| 1174756803 | Navjot S. Khurana | Dentist | 110 W. Yakima Valley Hwy., Sunnyside, WA 98944 | 2009-08-28 |
| 1114151081 | Charlie Chen | Dentist | 40-06 50th Avenue, Sunnyside, NY 11104-3130 | 2009-05-07 |
| 1699923540 | Dhaka Dental PC | Dentist | 40-14 Greenpoint Ave, Sunnyside, NY 11104 | 2008-09-04 |
| 1275731093 | James E Stevens | Dentist | 922 E Edison Ave, Sunnyside, WA 98944-0127 | 2007-07-03 |
| 1497953228 | Dr James E Stevens | Dentist | 922 E Edison Avenue, Sunnyside, WA 98944-0127 | 2007-07-03 |
| 1275671760 | Jay S Golub | Dentist | 41 47 48th St, Sunnyside, NY 11104 | 2007-02-05 |
| 1639228638 | Sepideh Toloue | Dentist | 4830 40th St, Sunnyside, NY 11104 | 2007-01-09 |
| Find all providers in SUNNYSIDE | ||||
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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.