Provider Demographics
NPI:1073682449
Name:MARTINI, JURGA D (DMD, PS)
Entity Type:Individual
Prefix:DR
First Name:JURGA
Middle Name:D
Last Name:MARTINI
Suffix:
Gender:F
Credentials:DMD, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 HOWELL ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-1469
Mailing Address - Country:US
Mailing Address - Phone:206-464-9002
Mailing Address - Fax:206-464-9003
Practice Address - Street 1:1220 HOWELL ST
Practice Address - Street 2:SUITE 110
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1469
Practice Address - Country:US
Practice Address - Phone:206-464-9002
Practice Address - Fax:206-464-9003
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000087041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice