Provider Demographics
NPI:1912296351
Name:KENT, MARTIN HERMAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:HERMAN
Last Name:KENT
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 1:133 EAST 58TH STREET
Mailing Address - Street 2:SUITE # 706
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-751-9490
Mailing Address - Fax:212-751-9491
Practice Address - Street 1:133 EAST 58TH STREET
Practice Address - Street 2:SUITE # 706
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-751-9490
Practice Address - Fax:212-751-9491
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist