Provider Demographics
NPI:1053996033
Name:MARTIN C WRITER DDS, MSD, INC.
Entity type:Organization
Organization Name:MARTIN C WRITER DDS, MSD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:WRITER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-637-4200
Mailing Address - Street 1:100 S CHAPARRAL CT STE 150
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2284
Mailing Address - Country:US
Mailing Address - Phone:714-637-4200
Mailing Address - Fax:714-637-7092
Practice Address - Street 1:100 S CHAPARRAL CT STE 150
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92808-2284
Practice Address - Country:US
Practice Address - Phone:714-637-4200
Practice Address - Fax:714-637-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1225197734OtherNPI