Clifton Martin
Dental Public Health
609 Elm Ave
Waco
, Texas 76704
Clifton Martin
Dental Public Health
609 Elm Ave
Waco
, Texas 76704
(254) 313-4326
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Clifton Martin
- 1600 Providence Dr
- Waco, TX
- Zip : 76707-2261
- Fax : (254) 313-4326
- Phone : (254) 313-4200
Second Address
- Clifton Martin
- 609 Elm Ave
- Waco, TX
- Zip : 76704
- Fax : (254) 313-4531
- Phone : (254) 313-6960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 14783 | TX |
National Provider Identifier
| NPI | 1215033725 |
|---|---|
| Provider Name | Clifton Martin |
| First Address | Waco, TX 76707-2261 |
| Second Address | Waco, TX 76704 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2006 |
| Last Update Date | 02/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 090525901 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.