Provider Demographics
NPI:1013221183
Name:MARTIK, ADAM LOUIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LOUIS
Last Name:MARTIK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3952 FINLEYVILLE ELRAMA RD
Mailing Address - Street 2:
Mailing Address - City:FINLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15332-3011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1597 WASHINGTON PIKE STE A5
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2881
Practice Address - Country:US
Practice Address - Phone:412-279-4800
Practice Address - Fax:412-279-7119
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2011-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS038350122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist