Healthcare Provider Details

I. General information

NPI: 1144910852
Provider Name (Legal Business Name): KARI HELEN WATTS MARTON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 HOOVER RD STE A
GROVE CITY OH
43123-7693
US

IV. Provider business mailing address

5775 HOOVER RD STE A
GROVE CITY OH
43123-7693
US

V. Phone/Fax

Practice location:
  • Phone: 614-350-5300
  • Fax:
Mailing address:
  • Phone: 614-350-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.027132
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: