Provider Demographics
NPI:1366689135
Name:MARTINS, VALERIE A (DMD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:A
Last Name:MARTINS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 DODGE ST
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1786
Mailing Address - Country:US
Mailing Address - Phone:978-922-7666
Mailing Address - Fax:978-921-1714
Practice Address - Street 1:56 DODGE ST
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1786
Practice Address - Country:US
Practice Address - Phone:978-922-7666
Practice Address - Fax:978-921-1714
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA218461223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics