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Amanda Lee Martinez
Pediatric Dentist in West Lafayette, Indiana
NPI 1265051999

Amanda Lee Martinez is a Pediatric Dentist based in West Lafayette, IN and is specialized in Pediatric Dentistry. Amanda Lee Martinez practices in West Lafayette, IN. The NPI Number for Amanda Lee Martinez is 1265051999 and holds a License No. 12013374A (Indiana).

The current practice location address for Amanda Lee Martinez is 520 W Navajo St, West Lafayette, IN and can be reached out via phone at 765-463-5437.

Location: 520 W Navajo St, West Lafayette, IN, 47906-1999
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265051999
Provider Name
Amanda Lee Martinez
Credential
Provider Entity Type
Individual
Gender
Female
Address
520 W Navajo St, West Lafayette, IN, 47906-1999
Phone Number
765-463-5437
Fax Number
Provider Enumeration Date
04/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300038906 05 IN
institution
Provider Business Practice Location Address Details
Address
520 W Navajo St
City
West Lafayette
State
Indiana
Zip
47906-1999
Phone Number
765-463-5437
Fax Number
person
Provider Business Mailing Address Details
Address
520 W Navajo St
City
West Lafayette
State
Indiana
Zip
47906-1999
Phone Number
765-463-5437
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12013374A (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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