Individual provider · Type 1 NPI

Gene J. Martin, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Marlton, NJ

NPI number 1366430159 Active

Practice location

94 Brick Rd, West Jersey Medical Plaza Suite 100
Marlton, NJ 08053-2179

Fax (856) 596-6715

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDI020726 (NJ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes 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.

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About NPI 1366430159

Gene J. Martin, DDS, MD's National Provider Identifier is 1366430159, issued on Oct 6, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Marlton, NJ. The record was last updated on Jul 8, 2007.