Dr Jacob David Martin, DMD is a
Dentist - General Practice based in Kronenwetter, Wisconsin. Dr Jacob David Martin is licensed to practice in Wisconsin (license number 6001570-15) and his current practice location is
1851 County Road Xx, Kronenwetter, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 359-0550.
NPI number for Dr Jacob David Martin is 1700578697 and his current mailing address is 820 Glade Ct Apt 11, Kronenwetter, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700578697.
Healthcare Provider's Profile
Full Name | Dr Jacob David Martin |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1851 County Road Xx, Kronenwetter, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700578697
- Provider Enumeration Date: 05/22/2023
- Last Update Date: 07/22/2024
Medical Identifiers
Medical identifiers for Dr Jacob David Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700578697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 6001570-15 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob David Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jacob David Martin, DMD 820 Glade Ct Apt 11, Kronenwetter, WI 54455-7333 Ph: (423) 710-6078 | Dr Jacob David Martin, DMD 1851 County Road Xx, Kronenwetter, WI 54455-7933 Ph: (715) 359-0550 |
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