Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey Lee Martin, DMD a Professional Dental Corp

Organization Dentist · NPI 1649318411

Jeffrey Lee Martin, DMD a Professional Dental Corp is a Dentist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

416 Ashley Ridge Blvd
Shreveport, LA 71106-7228
Phone: (318) 865-4091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5297 (LA)

Record details

NPI number1649318411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Martin — Owner · (318) 865-4091
NPI enumeratedFebruary 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address416 Ashley Ridge Blvd, Shreveport, LA 71106-7228

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