IndividualActive
Blake Martin, DDS
NPI 1609526144 · Dentist · Kansas City, KS
Provider details
- NPI number
- 1609526144
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 61913 (KS)
Specialties & taxonomies
Dental Providers
Student, Health Care
Practice location
8310 State Ave
Kansas City, KS 66112-1841
Phone: (913) 334-5225
Approximate (ZIP-level) locationGet directions
Mailing address
22157 207th St
Tonganoxie, KS 66086-4139
Additional practice locations (1)
- 22157 207th StTonganoxie, KS 66086-4139Phone: (913) 485-9878
Registry dates
- Enumerated
- 2022-03-27
- Last updated
- 2022-06-15
- Certified
- 2022-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.