Provider Demographics
NPI:1497873616
Name:JULIE A MARTINEZ DDS PC
Entity Type:Organization
Organization Name:JULIE A MARTINEZ DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-367-6558
Mailing Address - Street 1:9006 FOREST XING
Mailing Address - Street 2:SUITE A
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-1185
Mailing Address - Country:US
Mailing Address - Phone:281-367-6558
Mailing Address - Fax:281-419-7508
Practice Address - Street 1:9006 FOREST XING
Practice Address - Street 2:SUITE A
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77381-1185
Practice Address - Country:US
Practice Address - Phone:281-367-6558
Practice Address - Fax:281-419-7508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX159151223G0001X
TX157391223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty