Healthcare Provider Details

I. General information

NPI: 1710988324
Provider Name (Legal Business Name): CHRISTOPHER HENRY MARTONE D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date: 03/21/2006
Reactivation Date: 03/27/2006

III. Provider practice location address

1625 UNION AVE
NATRONA HEIGHTS PA
15065-2137
US

IV. Provider business mailing address

1625 UNION AVE
NATRONA HEIGHTS PA
15065-2137
US

V. Phone/Fax

Practice location:
  • Phone: 724-224-7888
  • Fax: 724-224-8602
Mailing address:
  • Phone: 724-224-7888
  • Fax: 724-224-8602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS025262L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: