MARTIN DDS PLLC NPI 1760810444

NPI Information

  • NPI: 1760810444
  • Provider Name: MARTIN, DDS PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Other Name: YOUNG SMILES WV
  • Address: 140 7TH AVE
    SOUTH CHARLESTOWN, WV
    ZIP 25303
  • Phone: (304) 342-4422

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NPI Details

MARTIN, DDS PLLC is a pediatric dentistry dentist in South Charlestown, WV. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MARTIN, DDS PLLC NPI is 1760810444. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Young Smiles Wv.

The provider's business location address is:

140 7TH AVE
SOUTH CHARLESTOWN, WV
ZIP 25303
Phone: (304) 342-4422
Fax: (304) 400-4986

The provider's authorized official is Jarrel R Martin .
The authorized official title is Member/owner and has the following contact phone number (304) 419-0125.

The enumeration date for this NPI number is 10/16/2013 and was last updated on 6/17/2020.

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
1122300000XDentist3945WEST VIRGINIANo
21223P0221XDentistPediatric Dentistry3827WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810000582MEDICAIDWEST VIRGINIA

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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