Individual provider · Type 1 NPI

Keasha Martin

Dental Hygienist · Shaw Afb, SC

NPI number 1003780966 Active

Practice location

449 Meadowlark St
Shaw Afb, SC 29152

Mailing address

449 Meadowlark, Bldg 1046
Shaw Afb, SC 29152

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH34302 (FL)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

5 other providers at this address

About NPI 1003780966

Keasha Martin's National Provider Identifier is 1003780966, issued on Oct 2, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Shaw Afb, SC. The record was last updated on Oct 2, 2025.