Active NPIIndividual providerSole proprietor

Dr. Brendaliz Bristol Martir, DMD

Dentist in Vineland, New Jersey

NPI Number1356697361
Practice location
2550 S Main RD, Vineland, NJ 08360-7138
Fax
—
Last updated
July 10, 2021

Brendaliz Bristol Martir is a Dentist based in Vineland, NJ. Brendaliz Bristol Martir practices in Vineland, NJ and has the professional credentials of DMD. The NPI Number for Brendaliz Bristol Martir is 1356697361 and holds a License No. 22DI02545300 (NJ). The current practice location address for Brendaliz Bristol Martir is 2550 S Main RD, Vineland, NJ 08360-7138 and can be reached out via phone at 856-839-7019.

Provider Profile Details

NPI Number
1356697361
Provider Name
Brendaliz Bristol Martir
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2550 S Main RD, Vineland, NJ 08360-7138
Phone Number
856-839-7019
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 27, 2012
Last Update Date
July 10, 2021
Certification Date
July 10, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
2550 S Main RD
Vineland, NJ 08360-7138
Zip
08360-7138
Phone Number
856-839-7019
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
2550 S Main RD
Vineland, NJ 08360-7138
City
Vineland
State
NJ
Zip
08360-7138
Phone Number
856-839-7019

License Information

License Number (1)
22DI02545300
License State (1)
NJ
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
2867
License State (2)
PR
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Brendaliz Bristol Martir, DMD?

The NPI number of Dr. Brendaliz Bristol Martir, DMD is 1356697361. It was assigned on July 27, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Brendaliz Bristol Martir, DMD?

Dr. Brendaliz Bristol Martir, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02545300.

Where does Dr. Brendaliz Bristol Martir, DMD practice?

The practice location is 2550 S Main RD, Vineland, NJ 08360-7138. The office can be reached at 856-839-7019 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356697361 directly on the NPPES registry website.

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