IndividualActive
Michael Martin, DDS,MS
NPI 1982811758 · Periodontics · Medford, OR
Provider details
- NPI number
- 1982811758
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS,MS
- Sex
- Male
- Sole proprietor
- No
- License
- D8721 (OR)
Practice location
2930 E Barnett Rd
Medford, OR 97504-8309
Phone: (541) 779-4501
Fax: (541) 779-8674
Mailing address
2930 E Barnett Rd
Medford, OR 97504-8309
Registry dates
- Enumerated
- 2007-05-17
- 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.