Provider Demographics
NPI:1942982152
Name:MARTINEZ, ADRIANA (DDS)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4726 NEW BROAD ST APT 106
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6425
Mailing Address - Country:US
Mailing Address - Phone:540-538-8438
Mailing Address - Fax:
Practice Address - Street 1:5946 CURRY FORD RD STE 101
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-4209
Practice Address - Country:US
Practice Address - Phone:407-377-7560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28302122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist