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YOUNG SMILES WV
NPI 1760810444
Dentist - Pediatric Dentistry in South Charlestown, WV

Active since October 16, 2013
140 7TH AVE, SOUTH CHARLESTOWN, WV 25303(304) 342-4422(304) 400-4986 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Young Smiles Wv NPPES

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

YOUNG SMILES WV (NPI 1760810444) is a healthcare organization registered as a pediatric dentistry in South Charlestown, West Virginia and active in the NPI registry since October 2013. The organization lists Jarrel R Martin, Member/owner, as its authorized official.

NPPES Registry Identity

NPI1760810444
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMARTIN, DDS PLLC
Location Address140 7TH AVESouth Charlestown, WV 25303
Mailing Address140 7th AveSouth Charlestown, WV 25303 · (304) 342-4422 · Fax (304) 400-4986
Phone(304) 342-4422
Fax(304) 400-4986
Organization SubpartNo
Authorized OfficialJarrel R MartinMember/owner · (304) 419-0125
Enumeration DateOctober 16, 2013
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1760810444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in WV · 3827
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 3945 (WV)
140 7TH AVE, South Charlestown, WV 25303
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Other Names 1

Other NameYoung Smiles Wv

Other Identifiers 1

Medicaid3810000582WV

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

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 Martin, Dds PLLC's NPI number?

The NPI number for Martin, Dds PLLC is 1760810444. It was assigned to this organization in the NPPES registry on October 16, 2013. The provider is also known as Young Smiles Wv.

Where is Martin, Dds PLLC located?

Martin, Dds PLLC is located at 140 7th Ave, South Charlestown, WV 25303. The listed phone number is (304) 342-4422.

What is Martin, Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Martin, Dds PLLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.