Dr. Troy Harold Martin
Oral and Maxillofacial Pathology
207 Sparks Ave Suite 205
Jeffersonville
, Indiana 47130-3739
Dr. Troy Harold Martin
Oral and Maxillofacial Pathology
207 Sparks Ave Suite 205
Jeffersonville
, Indiana 47130-3739
(812) 282-3067
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Troy Harold Martin
- 207 Sparks Ave Suite 205
- Jeffersonville, IN
- Zip : 47130-3739
- Fax : (812) 282-3067
- Phone : (812) 282-8467
Second Address
- Dr. Troy Harold Martin
- 207 Sparks Ave Suite 205
- Jeffersonville, IN
- Zip : 47130-3739
- Fax : (812) 282-3067
- Phone : (812) 282-8467
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 12006060 | IN |
National Provider Identifier
| NPI | 1770531998 |
|---|---|
| Provider Name | Dr. Troy Harold Martin |
| First Address | Jeffersonville, IN 47130-3739 |
| Second Address | Jeffersonville, IN 47130-3739 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/05/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000226448 | BLUECROSSBLUESHIELD (01) | IN |
| 61-0702891-002 | TID (01) | IN |
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.