Provider Demographics
NPI:1366627077
Name:MARTINEZ, LINDA S (DDS)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:S
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:PO BOX 942883
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:94283-0001
Mailing Address - Country:US
Mailing Address - Phone:916-323-1739
Mailing Address - Fax:916-327-2476
Practice Address - Street 1:501 J ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-2326
Practice Address - Country:US
Practice Address - Phone:916-323-1739
Practice Address - Fax:916-327-2476
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38875122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist