National Provider Identifier

Jeffrey R Martin, DDS

Jeffrey R Martin, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in East Aurora, NY and a listed phone number of (716) 652-3960.

NPI 1770709701East Aurora, NYGeneral Practice Dentistry

Profile Overview

NPI
1770709701
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
April 18, 2007
Last Updated
July 08, 2007

Practice Location

  • 950 Main St
  • East Aurora, NY 14052-1924

Phone: (716) 652-3960

Mailing Address

  • 24 Deer Run
  • Orchard Park, NY 14127-3454

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1770709701
Entity Type
Individual
Last Name
Martin
First Name
Jeffrey
Middle Name
R
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
24 Deer Run
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-3454
Mailing Country
US
Mailing Phone
(716) 652-3960
Mailing Fax
(716) 652-6125
Practice Street Address
950 Main St
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1924
Practice Country
US
Practice Phone
(716) 652-3960
Practice Fax
(716) 652-6125
Enumeration Date
April 18, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)