Individual provider · NPI-1

Shawn Martin, DHAT

Dental Therapist · Bethel, AK

NPI number1740674472
StatusActive
Last updated in NPPESMar 19, 2015

Details

NPI
1740674472
Entity type
Individual (NPI-1)
Name
Shawn Martin
Credential
DHAT
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2015
Last updated
Mar 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
125J00000X Dental Therapist15-123-DHATAKYes

Practice location

829 Chief Eddie Hoffman Hwy
Bethel, AK 99559

Phone 907-543-6000

Mailing address

Po Box 528
Bethel, AK 99559-0528

Phone 907-543-6000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dental Therapist providers in Bethel, AK