JEFFERY D. MARTIN (NPI# 1518080787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518080787 |
| Entity Type | Individual |
| Full Name | JEFFERY D. MARTIN |
| Credential | D.D.S. |
| Practice Address |
91 N Saginaw St Pontiac MI 48342-2165 |
| Practice Telephone | 2483324240 |
| Practice Fax Number | 2483326712 |
| Mailing Telephone | 2483324240 |
| Mailing Fax Number | 2483326712 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12707 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | TAX IDENTIFICATION NUMBER | 38-6780116 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447776851 | Jeffery Martin | Driver | 348 Cemetery Rd, Pennington Gap, VA 24277-1526 | 2017-08-17 |
| 1700284916 | Jeffery Scott Martin | Psychologist | 1025 Femoyer St Bldg 10908, Jbsa Lackland, TX 78236 | 2014-12-22 |
| 1699759860 | Jeffery L Martin | Family Medicine | 406 Ames St, Baldwin City, KS 66006-3099 | 2005-12-01 |
| 1801109640 | Jeffery Chad Martin | Orthopaedic Surgery | 410 N State of Franklin Rd Ste 140, Johnson City, TN 37604-6972 | 2010-07-21 |
| 1558400739 | Jeffery R. Martin | Psychologist | 1010 Sir Francis Drake Blvd, Suite 2e, Kentfield, CA 94904-1417 | 2007-02-05 |
| 1811949563 | Jeffery Merle Martin | Pediatrics | 901 E Willetta St, Room 2503, Phoenix, AZ 85006-2727 | 2006-05-17 |
| 1578531125 | Jeffery Scott Martin | Surgery | 8 Richland Medical Park Dr Ste 400, Columbia, SC 29203-8004 | 2006-03-09 |
| Street Address |
91 N SAGINAW ST |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457677932 | Daniel Holloway Md PC | Internal Medicine | 91 N Saginaw St, Suite 101, Pontiac, MI 48342-2165 | 2010-04-09 |
| 1396932497 | James Earl Mcdonald | Counselor | 91 N Saginaw St, Suite G-101, Pontiac, MI 48342-2165 | 2007-10-02 |
| 1083810071 | Mona Lisa Speaks | Specialist | 91 N Saginaw St, 100, Pontiac, MI 48342-2165 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| 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 |
|---|---|---|---|---|
| 1669967279 | Dev Oza | Dentist | 530 W Huron, Pontiac, MI 48341 | 2018-06-26 |
| 1851882799 | Maryan Luay Alkhoory | Dentist | 1620 N Perry St # 1, Pontiac, MI 48340 | 2018-05-26 |
| 1881955052 | Bibi Rahima | Dentist | 816 Joslyn Ave, Pontiac, MI 48340-2919 | 2012-06-05 |
| 1174749519 | Karen E Frank | Dentist | 1590 Baldwin Avenue, Pontiac, MI 48340-1112 | 2007-04-17 |
| 1023181443 | Tiffany J Karkanen | Dentist | 1018 Joslyn, Pontiac, MI 48340 | 2006-11-15 |
| 1083791958 | Timothy William Smiley | Dentist | 1620 North Perry Road, Pontiac, MI 48340 | 2006-10-31 |
| 1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
| 1154946051 | Molly Elizabeth Dwenger | Dentist | 44405 Woodward Ave, Medical Eduation - H23, Pontiac, MI 48341-5023 | 2020-06-16 |
| 1174148423 | Brady Kevin Schneider | Dentist | 44405 Woodward Ave # H23, Pontiac, MI 48341-5023 | 2020-06-12 |
| 1902420185 | Joel Elliot Griffin | Dentist | 44405 Woodward Ave # H23, Pontiac, MI 48341-5023 | 2020-06-03 |
| Find all providers in PONTIAC | ||||
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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.