Martinez, David James

Martinez, David James is an individual health care provider with primary practice located at 4263 Montgomery Blvd Ne Suite 100, Albuquerque NM 87109-6747. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Martinez, David James can be contacted via phone (505) 314-0645.

Contact Information

Primary practice address
4263 Montgomery Blvd Ne Suite 100 Albuquerque NM 87109-6747
Phone: (505) 314-0645
Fax: (505) 314-0646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DD2427 New Mexico

Profile Details

NPI number 1659351955
LBN Legal business name Martinez, David James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659351955 NPPES
New Mexico MEDICAID 11739509

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