OrganizationActive
Daniel K. Martisius, D.D.S., M.s
NPI 1396963740 · Orthodontics and Dentofacial Orthopedics Dentistry · Monroe, LA
Provider details
- NPI number
- 1396963740
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Daniel Martisius, Owner Doctor(318) 388-2220
- License
- 4436 (LA)
Specialties & taxonomies
Dental Providers
Practice location
5000 Forsythe Bypass
Suite 116
Monroe, LA 70201
Phone: (318) 388-2220
Fax: (318) 388-2219
Mailing address
5000 Forsythe Bypass
Monroe, LA 70201
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2013-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.