IndividualActive
John Martin, DDS
NPI 1639215684 · Pediatric Dentistry · Hurricane, WV
Provider details
- NPI number
- 1639215684
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- WV3264 (WV)
Specialties & taxonomies
Dental Providers
Practice location
3659 Teays Valley Road
Suite 100
Hurricane, WV 25526-9701
Phone: (304) 201-8500
Fax: (304) 201-8505
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 581
Hurricane, WV 25526-0581
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.