Martin, Kenneth R.

Martin, Kenneth R. is an sole proprietor health care provider with primary practice located at 694 S Willow Ave , Cookeville TN 38501-3882. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, Kenneth R. can be contacted via phone (931) 528-5491.

Contact Information

Primary practice address
694 S Willow Ave Cookeville TN 38501-3882
Phone: (931) 528-5491
Fax: (931) 520-0510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS2766 Tennessee

Profile Details

NPI number 1760557334
LBN Legal business name Martin, Kenneth R.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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