IndividualActive
Jonathan Martino, DDS
NPI 1073367819 · Dentist · Fe Warren Afb, WY
Provider details
- NPI number
- 1073367819
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 8001 (NE)
Specialties & taxonomies
Dental Providers
Practice location
6900 Alden Dr
Fe Warren Afb, WY 82005-2945
Phone: (307) 773-5635
Fax: (307) 773-3399
Approximate (ZIP-level) locationGet directions
Mailing address
6900 Alden Dr
Fe Warren Afb, WY 82005-2945
Registry dates
- Enumerated
- 2024-04-17
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.