Provider Demographics
NPI:1801945290
Name:DR. MARTIN L. OKUN
Entity type:Organization
Organization Name:DR. MARTIN L. OKUN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:OKUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-656-1600
Mailing Address - Street 1:7201 WISCONSIN AVE
Mailing Address - Street 2:SUITE 370
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4810
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:301-656-0140
Practice Address - Street 1:7201 WISCONSIN AVE
Practice Address - Street 2:SUITE 370
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4810
Practice Address - Country:US
Practice Address - Phone:301-656-1600
Practice Address - Fax:301-656-0140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD57471223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty