ANTHONY C. MARTIN DMD LLC NPI 1841698149

NPI Information

NPI: 1841698149
Provider Name: ANTHONY C. MARTIN DMD LLC
Classification: Clinic/Center - 261QD0000X
Specialization: Dental
Entity Type: Organization
Address: 111 OBRIAN WAY
IRMO, SC
ZIP 29063
Phone: (803) 749-6072

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NPI Details

ANTHONY C. MARTIN DMD LLC is a dental clinic center in Irmo, SC. ANTHONY C. MARTIN DMD LLC NPI is 1841698149. The provider is registered as an organization entity type.

The provider's business location address is:

111 OBRIAN WAY
IRMO, SC
ZIP 29063-776
Phone: (803) 749-6072

The provider's authorized official is Anthony Charles Martin .
The authorized official title is President and has the following contact phone number (803) 749-6072.

The enumeration date for this NPI number is 12/18/2014 and was last updated on 12/18/2014.

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
1	261QD0000X	Clinic/Center	Dental	2590	SOUTH CAROLINA	Yes

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
1	Z2590	MEDICAID	SOUTH CAROLINA

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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