MEDICARE: BRETT MARTIN, DDS, INC.

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	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1972457612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRETT MARTIN, DDS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 1351
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95763-1351
Country	:	US
Telephone Number	:	916-337-4388
Fax Number	:

Provider Business Practice Location Address
First Line	:	9233 SIERRA COLLEGE BLVD. SUITE #100
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95661
Country	:	US
Telephone Number	:	916-337-4388
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRETT MARTIN
Credential	:	DDS
Telephone Number	:	916-337-4388

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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