Dr. Gary Chadwick Martin
Dental Public Health
5111 Leesburg Pike Skyline 5 Suite 810
Falls Church
, Virginia 22041-3251
Dr. Gary Chadwick Martin
Dental Public Health
5111 Leesburg Pike Skyline 5 Suite 810
Falls Church
, Virginia 22041-3251
(703) 681-0947
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Gary Chadwick Martin
- 5059 Minda Ct
- Alexandria, VA
- Zip : 22304-7772
- Fax : (703) 681-0947
- Phone : (703) 681-0039
Second Address
- Dr. Gary Chadwick Martin
- 5111 Leesburg Pike Skyline 5 Suite 810
- Falls Church, VA
- Zip : 22041-3251
- Fax : (703) 681-0947
- Phone : (703) 681-0039
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 142116 | UT |
National Provider Identifier
| NPI | 1144281742 |
|---|---|
| Provider Name | Dr. Gary Chadwick Martin |
| First Address | Alexandria, VA 22304-7772 |
| Second Address | Falls Church, VA 22041-3251 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1421169921 | DENTAL LICENSE (01) | UT |
| BM9368576 | DEA REGISTRATION NUMBER (01) |
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.