Provider Demographics
NPI:1952161713
Name:MARTINEZ, NASHLEY MICHELLE
Entity type:Individual
Prefix:
First Name:NASHLEY
Middle Name:MICHELLE
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NASHLEY
Other - Middle Name:MICHELLE
Other - Last Name:MARTINEZ RAMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:154 HEARTWOOD AVE APT 1111
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:GA
Mailing Address - Zip Code:31324-6933
Mailing Address - Country:US
Mailing Address - Phone:407-334-5509
Mailing Address - Fax:
Practice Address - Street 1:849 W OGLETHORPE HWY STE 140
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-4495
Practice Address - Country:US
Practice Address - Phone:912-348-1388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1238441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice