Smallidge, Martin
Smallidge, Martin is an individual health care provider with primary practice located at 3145 Garden Ave , Fort Sam Houston TX 78234-7718. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Smallidge, Martin can be contacted via phone (210) 808-3737.Contact Information
Primary practice address
3145 Garden Ave
Fort Sam Houston TX 78234-7718
Phone: (210) 808-3737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DS040045 | Pennsylvania |
| Dental Providers / Prosthodontics | 1223P0700X | DS040045 | Pennsylvania |
Profile Details
| NPI number | 1992113062 |
|---|---|
| LBN Legal business name | Smallidge, Martin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2014 |
| Last updated | Jul 5th, 2023 - about 3 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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