MARTIN ORAL AND MAXILLOFACIAL SURGERY, PA (NPI# 1538499041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538499041 |
| Entity Type | Organization |
| Organization Name | MARTIN ORAL AND MAXILLOFACIAL SURGERY, PA |
| Practice Address |
101 Walker Way Starkville MS 39759 |
| Mailing Address |
Po Box 770 Starkville MS 39760-0770 |
| Practice Telephone | 6623233801 |
| Practice Fax Number | 6623233121 |
| Mailing Telephone | 6623233801 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | DR. ROBERT ANDREW MARTIN (OWNER) |
| Authorized Official Telephone | 6623233801 |
| Authorized Official Credential | D.M.D., M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
352809 | MS | Dental Providers |
| Street Address |
101 WALKER WAY |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891966404 | Robert Andrew Martin | Dentist | 101 Walker Way, Starkville, MS 39759 | 2008-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| 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 |
|---|---|---|---|---|
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1063781086 | Harbor View Oral and Facial Surgery LLC | Dentist | 1301 25th Avenue, Suite 3, Gulfport, MS 39501 | 2011-12-20 |
| 1689831125 | Charles Jackson Van Meter IIi | Dentist | 300 Maxey Dr, Brandon, MS 39042-2576 | 2008-05-21 |
| 1457521163 | Dr Richard K Akin | Dentist | 1013 Highway 90, Bay Saint Louis, MS 39520-1524 | 2008-03-10 |
| 1184802084 | Dr. George W. May, Jr., D.m.d | Dentist | 293 E Layfair Dr, Flowood, MS 39232-9527 | 2008-02-04 |
| 1396920252 | Eric Street Lewis | Dentist | 212 Rawls Dr, Mccomb, MS 39648-2870 | 2008-01-09 |
| 1689888745 | Jason Oser Rosetti | Dentist | 1301 25th Ave, Ste 3, Gulfport, MS 39501-1932 | 2007-05-09 |
| 1831303858 | Tony Dee Hooker | Dentist | 399 Southcrest Ct Ste A, Southaven, MS 38671-4790 | 2007-05-09 |
| 1437370988 | Kyle Tanner Hunt | Dentist | 971 Lakeland Dr Ste 952, Jackson, MS 39216-4609 | 2007-05-01 |
| 1871719013 | Scott Freland Thames | Dentist | 325 S 13th Ave, Laurel, MS 39440-4342 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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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.