DR. RONLAD P. MARTIN DMD NPI 1891727590

NPI Information

NPI: 1891727590
Provider Name: DR. RONLAD P. MARTIN, DMD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
125 EAGLES POINTE PKWY
SUITE 100
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 474-0048
Get Directions

DR. Ronlad P. Martin, DMD is an oral and maxillofacial surgery dentist in Stockbridge, GA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Ronlad P. Martin, DMD NPI is 1891727590. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

125 EAGLES POINTE PKWY
SUITE 100
STOCKBRIDGE, GA
ZIP 30281-379
Phone: (770) 474-0048
Fax: (770) 474-0063

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	GA9360	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	19NCBKP	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	U32572	MEDICARE UPIN	GEORGIA
3	00458202C	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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