MEDICARE: DR. MARTIN K PAULS DDS

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	122300000X	Dentist	2677	SC

General Provider Information

NPI Number	:	1861433062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN K PAULS DDS

Provider Business Mailing Address
First Line	:	21 NEW ORLEANS RD.
Second Line	:	SUITE A
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928
Country	:	US
Telephone Number	:	843-785-6285
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 NEW ORLEANS RD
Second Line	:	SUITE A
City	:	HILTON HEAD ISLAND
State	:	SC
Zip	:	29928-4732
Country	:	US
Telephone Number	:	843-785-6285
Fax Number	:

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/08/2007

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