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General NPI Number Information
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NPI Number | 1073445003
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Entity Type | Individual
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Provider Name | GREGORY JAMES MARTENS DDS
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Gender | Male
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 1003 PEARSON DR
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City | HUDSON
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State | WI
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Zip | 54016-8727
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Country | US
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Telephone | 715-377-9966
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Fax | 715-377-9933
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Provider Business Mailing Address
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Address Line | 4202 W 42ND ST
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City | EDINA
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State | MN
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Zip | 55416-5008
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Country | US
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Telephone | 952-928-0093
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 600220215
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License Number State | WI
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