ANDREA MARTINEZ LLC (NPI# 1629678602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629678602 |
| Entity Type | Organization |
| Organization Name | ANDREA MARTINEZ LLC |
| Practice Address |
4731 E Southern Ave Phoenix AZ 85042-4150 |
| Mailing Address |
1423 E Yucca St Phoenix AZ 85020-1424 |
| Practice Telephone | 6024814478 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | ANDREA MARTINEZ (OWNER DOCTOR) |
| Authorized Official Telephone | 6024814478 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southern Smiles | Doing Business As Name - Organization |
| Street Address |
4731 E SOUTHERN AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85042-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356402556 | Jinah Lee | Dentist | 4731 E Southern Ave, Phoenix, AZ 85042-4150 | 2006-12-12 |
| 1437643855 | Andrea Martinez | Dentist | 4731 E Southern Ave, Phoenix, AZ 85042-4150 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443197 | Da Homes LLC | Case Management | 8026 S. 24th Way, Phoenix, AZ 85042 | 2020-10-05 |
| 1144790460 | Ebony House Inc | Substance Abuse Rehabilitation Facility | 6222 S. 13th Street, Phoenix, AZ 85042 | 2018-11-29 |
| 1427538362 | Abigail Mcgrath | Dietitian, Registered | 303 E Baseline Rd Ste 200, Phoenix, AZ 85042 | 2018-08-20 |
| 1174028310 | Olufemi A Omodara | Pharmacist | 7227 S. Central Ave, #1080, Phoenix, AZ 85042 | 2018-03-29 |
| 1720537699 | Mary Youngblood | Registered Nurse | 7210 S 27th Way, Phoenix, AZ 85042 | 2016-10-03 |
| 1922490382 | Brian Zembower | Optometrist | 610 E Baseline Rd Ste C3, Phoenix, AZ 85042 | 2015-02-23 |
| 1417299819 | Robert Murphy Portley | Psychiatry & Neurology | 2320 E Baseline Rd Ste 148-225, Phoenix, AZ 85042 | 2013-03-23 |
| 1972807998 | Obinna Chukwuka Akubukwe | Pharmacist | 6006 S. Central Avenue, Phoenix, AZ 85042 | 2011-01-05 |
| 1104120328 | Gisheys Patient Care LLC | Custodial Care Facility | 7232 South 12th Place, Phoeniz, AZ 85042 | 2011-01-03 |
| 1245463488 | Lois Ann Hammitt | Registered Nurse | 6218 S. 7th Street, Phoenix, AZ 85042 | 2009-09-03 |
| Find all providers in zip 85042 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
| 1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
| 1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
| 1942821301 | Family and Kids Dental LLC | Clinic/Center | 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400 | 2020-04-27 |
| 1003458688 | Uptown Pediatric Dental Group, Pllc | Clinic/Center | 1515 E Missouri Ave Ste 103, Phoenix, AZ 85014-2443 | 2019-10-15 |
| 1538720818 | Scott A. Simpson Dds Pllc | Clinic/Center | 14231 N 7th St Ste A14231n7, Phoenix, AZ 85022-4360 | 2019-06-26 |
| 1992362891 | Lemon Tree Dentistry LLC | Clinic/Center | 1985 W Happy Valley Rd Ste 115, Phoenix, AZ 85085-2888 | 2019-05-26 |
| 1457813768 | Singh Smile Care | Clinic/Center | 3201 W Peoria Ave Ste A103, Phoenix, AZ 85029-4609 | 2019-04-04 |
| 1710447370 | Minted Dental | Clinic/Center | 21050 N Tatum Blvd Ste 200, Phoenix, AZ 85050-4262 | 2019-03-20 |
| 1679032197 | Denkha Dentistry, LLC | Clinic/Center | 1601 E Bell Rd Ste A13, Phoenix, AZ 85022-6254 | 2019-03-14 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on ANDREA MARTINEZ LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.