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DOUGLAS R. MARTIN DDS SC
NPI 1518290980
Dentist - General Practice in Sheboygan, WI

Active since September 16, 2009
2905 S 12TH ST, SHEBOYGAN, WI 53081(616) 406-9399 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas R. Martin Dds Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS R. MARTIN DDS SC (NPI 1518290980) is a healthcare organization registered as a general practice in Sheboygan, Wisconsin and active in the NPI registry since September 2009. The organization lists Douglas Richard Martin, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1518290980
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDOUGLAS R. MARTIN DDS SC
Location Address2905 S 12TH STSheboygan, WI 53081-6705
Mailing Address1808 W Glen Oaks LnMequon, WI 53092-2902 · (616) 406-9399
Phone(616) 406-9399
Organization SubpartNo
Authorized OfficialDouglas Richard MartinSole Member · (616) 406-9399
Enumeration DateSeptember 16, 2009
Last NPPES UpdateOctober 30, 2012
✔ NPI 1518290980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 2602-15
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2905 S 12TH ST, Sheboygan, WI 53081
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY JH HOLSEN, DDS,SC
Dentist (General Practice)
2905 S 12TH ST
SHEBOYGAN, WI 53081
Sheboygan County (920) 459-8467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas R. Martin Dds Sc's NPI number?

The NPI number for Douglas R. Martin Dds Sc is 1518290980. It was assigned to this organization in the NPPES registry on September 16, 2009.

Where is Douglas R. Martin Dds Sc located?

Douglas R. Martin Dds Sc is located at 2905 S 12th St, Sheboygan, WI 53081. The listed phone number is (616) 406-9399.

What is Douglas R. Martin Dds Sc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Douglas R. Martin Dds Sc was last updated on October 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.