JUSTIN J MARTIN JR. (NPI# 1619177235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619177235 |
Entity Type | Individual |
Full Name | JUSTIN J MARTIN JR. |
Credential | DDS |
Practice Address |
4117 E Lake Rd Canandaigua NY 14424-9784 |
Practice Telephone | 5853948796 |
Mailing Telephone | 5853948796 |
Enumeration Date | 2007-07-22 |
Last Update Date | 2007-07-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
23289 | NY | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992109516 | Justin Martin | Pharmacist | 5601 Richmond Rd, Williamsburg, VA 23188-1985 | 2014-10-09 |
1639372725 | Justin Parish Martin | Surgery | 2431 W Main St Ste 302, Dothan, AL 36301-1251 | 2007-06-07 |
1184624306 | Justin L Martin | Internal Medicine | 1300 W Terrell Ave Ste 500, Ft Worth, TX 76104-2810 | 2005-07-29 |
1093283798 | Justin K Martin | Occupational Therapist | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2018-11-12 |
1265930655 | Justin Martin | Social Worker | 1301 N High St, Columbus, OH 43201-2460 | 2018-01-31 |
1285155192 | Justin Troy Martin | Family Medicine | 1969 W Ogden Ave, Chicago, IL 60612-3765 | 2017-06-30 |
1972951408 | Justin Marion Martin | Emergency Medicine | 2401 S 31st St, Ms-11-ag062, Temple, TX 76508-0001 | 2016-05-25 |
1902250301 | Justin Martin | Pharmacist | 1450 Summit Ave, Oconomowoc, WI 53066-4618 | 2016-04-21 |
1124450812 | Justin C Martin | Occupational Therapist | 4206 Stammer Pl, Nashville, TN 37215-3302 | 2013-08-05 |
1972799567 | Justin D Martin | Dentist | 1200 First Colonial Rd, Suite #201, Virginia Beach, VA 23454-2207 | 2007-09-18 |
Street Address |
4117 E LAKE RD |
City | CANANDAIGUA |
State | NY |
Zip Code | 14424-9784 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
Find all providers in zip 14424 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437358132 | Ontario Orthodontics, Pllc | Dentist | 90 N Main St, Canandaigua, NY 14424-1232 | 2007-07-12 |
1831175199 | Brian Rheude | Dentist | 90 N Main St, Canandaigua, NY 14424-1232 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
Find all providers with the same taxonomy |
City | CANANDAIGUA |
Zip Code | 14424 |
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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.