MEDICARE: MARTIN J. VALINS D.D.S., P.C.

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	021257-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730286030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTIN J. VALINS D.D.S., P.C.

Provider Business Mailing Address
First Line	:	21305 UNION TPKE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11364-3521
Country	:	US
Telephone Number	:	718-464-0768
Fax Number	:	718-217-5240

Provider Business Practice Location Address
First Line	:	21305 UNION TPKE
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11364-3521
Country	:	US
Telephone Number	:	718-464-0768
Fax Number	:	718-217-5240

Authorized Official
Title or Position	:	PRESIDENT ORTHODONTIST
Name	:	DR. MARTIN J VALINS
Credential	:	DDS
Telephone Number	:	718-464-0768

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	08/22/2020

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