JUSTIN J MARTIN JR.


Address: 4117 E Lake Rd, Canandaigua, NY 14424-9784
Phone: 5853948796

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
23289 NY Dental Providers

Other Providers JUSTIN MARTIN

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1992109516 Justin Martin Pharmacist 5601 Richmond Rd, Williamsburg, VA 23188-1985 2014-10-09
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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

Office Location

Street Address 4117 E LAKE RD
City CANANDAIGUA
State NY
Zip Code 14424-9784

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CANANDAIGUA
Zip Code 14424

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Dataset Information

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.

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