Individual provider · Type 1 NPI

Michael William Martin, DDS, MD

Oral and Maxillofacial Surgery (Dentist) · Whiteman Afb, MO

NPI number 1629065115 Active

Practice location

331 Sijen Ave
Whiteman Afb, MO 65305-1269

Call (660) 687-2201 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X22237 (OK)

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.

59 other providers at this address

About NPI 1629065115

Michael William Martin, DDS, MD's National Provider Identifier is 1629065115, issued on Sep 30, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Whiteman Afb, MO. The record was last updated on Jul 13, 2026.