| Shannon M Martin | |
|
12650 Warwick Blvd Newport News VA 23606 | |
| (757) 930-9100 | |
| (757) 930-8900 |
| Full Name | Shannon M Martin |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12650 Warwick Blvd, Newport News, Virginia |
| Authorized Official Name and Position | Shannon M Martin (DENTIST) |
| Authorized Official Contact | 7579309100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon M Martin 12650 Warwick Blvd Newport News VA 23606 Ph: (757) 930-9100 | Shannon M Martin 12650 Warwick Blvd Newport News VA 23606 Ph: (757) 930-9100 |
| NPI Number | 1386839918 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386839918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | VA7853 (Virginia) | Primary |
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