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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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