BRYAN B. MARTIN, DMD, LLC
NPI 1710278429
Dentist - General Practice in Magnolia, MS

Active since April 28, 2011
405 N CLARK AVE, MAGNOLIA, MS 39652(601) 783-2606(601) 783-0572 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryan B. Martin, Dmd, Llc NPPES

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

BRYAN B. MARTIN, DMD, LLC (NPI 1710278429) is a healthcare organization registered as a general practice in Magnolia, Mississippi and active in the NPI registry since April 2011. The organization lists Bryan B Martin, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1710278429
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRYAN B. MARTIN, DMD, LLC
Location Address405 N CLARK AVEMagnolia, MS 39652-2609
Mailing Address405 N Clark AveMagnolia, MS 39652-2609 · (601) 783-2606 · Fax (601) 783-0572
Fax(601) 783-0572
Organization SubpartNo
Authorized OfficialBryan B MartinDoctor/owner · (601) 783-2606
Enumeration DateApril 28, 2011
NPI 1710278429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MS · 3453.08 Licensed in TX · 22474
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.
405 N CLARK AVE, Magnolia, MS 39652

Other Identifiers 2

Medicaid07575621MS
Other1932300977MS · Individual Npi

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 MULTIPLE 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.

Dentist (General Practice)
405 N CLARK AVE
MAGNOLIA, MS 39652

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 Bryan B. Martin, Dmd, LLC's NPI number?

The NPI number for Bryan B. Martin, Dmd, LLC is 1710278429. It was assigned to this organization in the NPPES registry on April 28, 2011.

Where is Bryan B. Martin, Dmd, LLC located?

Bryan B. Martin, Dmd, LLC is located at 405 N Clark Ave, Magnolia, MS 39652. The listed phone number is (601) 783-2606.

What is Bryan B. Martin, Dmd, LLC'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 Bryan B. Martin, Dmd, LLC was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.