Individual provider · Type 1 NPI
Celia Susan Martin, D.M.D
Orthodontics and Dentofacial Orthopedics Dentistry · Lake City, FL
Practice location
701 SW State Road 47
Lake City, FL 32025-0453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DN 10106 (FL) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
About NPI 1336356005
Celia Susan Martin, D.M.D's National Provider Identifier is 1336356005, issued on May 16, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Lake City, FL. The record was last updated on Jul 8, 2007.