IndividualActive
Alan Martin
NPI 1154819043 · General Practice Dentistry · St Augustine, FL
Provider details
- NPI number
- 1154819043
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- DN23010 (FL)
Mailing address
690 Wild Cypress Cir
Ponte Vedra Beach, FL 32081-5731
Registry dates
- Enumerated
- 2018-04-25
- Last updated
- 2018-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.