DR. PHILLIP RONALD MARTIN (NPI# 1982900908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982900908 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP RONALD MARTIN |
| Credential | D.D.S. |
| Practice Address |
844 S Marion Ave Lake City FL 32025-5855 |
| Practice Telephone | 3867528531 |
| Practice Fax Number | 3867527681 |
| Mailing Telephone | 3867528531 |
| Mailing Fax Number | 3867527681 |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2014-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN15702 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871745307 | Phillip Sidney Martin | Dentist | 15511 Annapolis Rd Ste 540, Bowie, MD 20715-3014 | 2008-10-15 |
| 1275580680 | Phillip Allan Martin | Emergency Medicine | 6425 Lynch Canyon Dr, Lake Isabella, CA 93240-9726 | 2006-05-30 |
| 1043708837 | Phillip Martin | Community Health Worker | 199 S Central Ave, Columbus, OH 43223-1301 | 2018-04-26 |
| 1619420718 | Phillip K Martin | Clinical Neuropsychologist | 7829 E Rockhill St, Attn: Credentialing, Wichita, KS 67206-3920 | 2016-07-26 |
| 1497108898 | Phillip Martin | Counselor | 13603 80th Cir N, Maple Grove, MN 55369-8961 | 2016-07-20 |
| 1891171328 | Phillip Martin | Rehabilitation Practitioner | 1640 E Flamingo Rd, Las Vegas, NV 89119-5249 | 2015-08-06 |
| 1225369440 | Phillip A Martin | Nurse Anesthetist, Certified Registered | 1 Medical Park Blvd, Bristol, TN 37620-7430 | 2010-01-28 |
| Street Address |
844 S MARION AVE |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-5855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275557969 | Dale Lynn Gerber | Dentist | 844 S Marion Ave, Lake City, FL 32025-5855 | 2006-07-26 |
| 1144672692 | Andrew Roman | Dentist | 844 S Marion Ave, Lake City, FL 32025-5855 | 2016-07-08 |
| 1578840245 | Lake City Dental | Dentist | 844 S Marion Ave, Lake City, FL 32025-5855 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285136242 | Perry Dental, Ltd. | Dentist | 210 N. Lakeshore Dr., Lake City, MN 55041 | 2018-03-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1609296995 | Jimmy Harden | Dentist | 1283 Sw Zesty Cir Apt 101, Lake City, FL 32025-0729 | 2014-04-24 |
| 1326280553 | Lake City Dental Clinic | Dentist | 700 North Henson St, Lake City, CO 81235-0999 | 2009-04-02 |
| 1912161944 | Family First Dental of Primghar, P.C. | Dentist | 1331 W Main St, Lake City, IA 51449-1585 | 2008-07-18 |
| 1952560559 | Edward Nelson Morse | Dentist | 216 Se Corrections Way, Lake City, FL 32025-2013 | 2008-06-09 |
| 1912112541 | Michael L Jarrell | Dentist | 1166 Sw Main Blvd, Lake City, FL 32025-5780 | 2007-05-14 |
| 1497880611 | Reeve G Abraben | Dentist | 182 S Marion Ave, Lake City, FL 32025-4354 | 2007-02-21 |
| 1386792513 | Christie Lorraine Cason Wheeler | Dentist | 272 Sw Bentley Pl, Lake City, FL 32025-6972 | 2007-01-05 |
| 1659435287 | Michael Francis Lahey | Dentist | 301 N Main, Lake City, MI 49651 | 2006-12-20 |
| Find all providers in LAKE CITY | ||||
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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.