| Brent J Martin Dds Ms Sc | |
|
1345 W Towne Square Rd Mequon WI 53092-5047 | |
| (262) 241-3019 | |
| (262) 241-3027 |
| Full Name | Brent J Martin Dds Ms Sc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1345 W Towne Square Rd, Mequon, Wisconsin |
| Authorized Official Name and Position | Brent J Martin (ENDODONTIST ORAL AND MAXILLOFACIAL) |
| Authorized Official Contact | 2622413019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent J Martin Dds Ms Sc 1345 W Towne Square Rd Mequon WI 53092-5047 Ph: (262) 241-3019 | Brent J Martin Dds Ms Sc 1345 W Towne Square Rd Mequon WI 53092-5047 Ph: (262) 241-3019 |
| NPI Number | 1306908371 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306908371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2529 (Wisconsin) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2529 (Wisconsin) | Secondary |
Kittleson Orthodontics, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-3141 | |
North Shore Dental Group S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 W Mequon Rd, Mequon, WI 53092 Phone: 262-242-1180 Fax: 262-242-0930 | |
Comprehensive Dental Services Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10521 N Port Washington Rd, Suite 200, Mequon, WI 53092 Phone: 262-241-2060 Fax: 262-241-2064 | |
Wisconsin Dental Group, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6048 W Mequon Rd Ste 200, Mequon, WI 53092 Phone: 414-216-9211 Fax: 414-216-9216 | |
Northshore Smiles, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10303 N Port Washington Rd Ste 103a, Mequon, WI 53092 Phone: 262-240-0405 | |
East Towne Dental Associated Belgium Family Dental Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11501 N Prot Washington Rd, Mequon, WI 53092 Phone: 262-241-8880 Fax: 262-241-5250 |