MEDICARE: DR. DANIEL SCOTT MARTIN D.D.S., M.S.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	12010365A	IN

General Provider Information

NPI Number	:	1497825236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL SCOTT MARTIN D.D.S., M.S.D.

Provider Business Mailing Address
First Line	:	1000 W JEFFERSON ST
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-2124
Country	:	US
Telephone Number	:	317-736-0607
Fax Number	:	317-736-0618

Provider Business Practice Location Address
First Line	:	1000 W JEFFERSON ST
Second Line	:
City	:	FRANKLIN
State	:	IN
Zip	:	46131-2124
Country	:	US
Telephone Number	:	317-736-0607
Fax Number	:	317-736-0618

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	12/05/2023

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