DR. JASON ELLIS MARTIN DDS NPI 1619073533

NPI Information

  • NPI: 1619073533
  • Provider Name: DR. JASON ELLIS MARTIN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 236 MARKET ST
    SUITE 200
    LOCUST, NC
    ZIP 28097
  • Phone: (704) 781-0500

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NPI Details

DR. Jason Ellis Martin, DDS is a general practice dentist in Locust, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jason Ellis Martin, DDS NPI is 1619073533. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

236 MARKET ST
SUITE 200
LOCUST, NC
ZIP 28097-438
Phone: (704) 781-0500
Fax: (704) 781-0555

The enumeration date for this NPI number is 9/16/2006 and was last updated on 1/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice8173NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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