Dr. Cornelius Devante Martin
Pediatric Dentist
2702 Medical Office Pl
Goldsboro
, North Carolina 27534-9460
Dr. Cornelius Devante Martin
Pediatric Dentist
2702 Medical Office Pl
Goldsboro
, North Carolina 27534-9460
(910) 382-1003
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Cornelius Devante Martin
- 3006 Brentwood Dr N
- Wilson, NC
- Zip : 27896-6920
- Phone : (910) 382-1003
Second Address
- Dr. Cornelius Devante Martin
- 2702 Medical Office Pl
- Goldsboro, NC
- Zip : 27534-9460
- Phone : (919) 617-4035
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 11588 | NC |
National Provider Identifier
| NPI | 1023676434 |
|---|---|
| Provider Name | Dr. Cornelius Devante Martin |
| First Address | Wilson, NC 27896-6920 |
| Second Address | Goldsboro, NC 27534-9460 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2019 |
| Last Update Date | 30/09/2021 |
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.