Provider Demographics
NPI:1770676348
Name:MARTINEZ, FRANK NMN (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:NMN
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:NMN
Other - Last Name:MARTINEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 2767
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-0767
Mailing Address - Country:US
Mailing Address - Phone:408-279-6540
Mailing Address - Fax:
Practice Address - Street 1:1240 SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4517
Practice Address - Country:US
Practice Address - Phone:408-246-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA273361223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics