Provider Demographics
NPI:1679722169
Name:EPSTEIN, MARTIN BARRY (DDS)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:BARRY
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 TENNENT RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8247
Mailing Address - Country:US
Mailing Address - Phone:732-536-4422
Mailing Address - Fax:732-536-3396
Practice Address - Street 1:800 TENNENT RD
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8247
Practice Address - Country:US
Practice Address - Phone:732-536-4422
Practice Address - Fax:732-536-3396
Is Sole Proprietor?:No
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1010198001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics