National Provider Identifier
Justin J Martin Jr., DDS
Justin J Martin Jr., DDS is listed in the NPPES registry with a primary specialty of Orthodontics and Dentofacial Orthopedics Dentistry in Canandaigua, NY and a listed phone number of (585) 394-8796.
Profile Overview
- NPI
- 1619177235
- Provider Type
- Individual
- Primary Specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Enumeration Date
- July 22, 2007
- Last Updated
- July 22, 2007
Practice Location
- 4117 E Lake RD
- Canandaigua, NY 14424-9784
Phone: (585) 394-8796
Specialties
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)
Full Record
- NPI
- 1619177235
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Justin
- Middle Name
- J
- Name Suffix
- Jr.
- Credential
- DDS
- Mailing Street Address
- 4117 E Lake RD
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-9784
- Mailing Country
- US
- Mailing Phone
- (585) 394-8796
- Practice Street Address
- 4117 E Lake RD
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9784
- Practice Country
- US
- Practice Phone
- (585) 394-8796
- Enumeration Date
- July 22, 2007
- Last Updated
- July 22, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X)