Healthcare Provider Details

I. General information

NPI: 1922235423
Provider Name (Legal Business Name): MARTA A JANION DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2009
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 SE FEDERAL HWY UNIT E
STUART FL
34994-3821
US

IV. Provider business mailing address

1020 SE FEDERAL HWY UNIT E
STUART FL
34994-3821
US

V. Phone/Fax

Practice location:
  • Phone: 772-444-6131
  • Fax: 772-200-3223
Mailing address:
  • Phone: 772-444-6131
  • Fax: 772-200-3223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN19679
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: