NPI 1184780280 · live from the CMS NPI Registry
Adam Martin, DDS, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Eugene, OR. National Provider Identifier 1184780280, active.
NPI record
| NPI | 1184780280 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 4122 Quest Dr, Eugene, OR 97402 |
| Practice phone | 541-359-3261 |
| Mailing address | 12233 S Wingfoot Ct, Draper, UT 84020 |
| Enumerated | December 31, 2006 |
| Last updated | November 12, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | D11964 (OR) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 5911333-8903 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.