Martinez, Amanda Lee

Martinez, Amanda Lee is an individual health care provider with primary practice located at 520 W Navajo St , West Lafayette IN 47906-1999. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Martinez, Amanda Lee can be contacted via phone (765) 463-5437.

Contact Information

Primary practice address
520 W Navajo St West Lafayette IN 47906-1999
Phone: (765) 463-5437
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12013374A Indiana

Profile Details

NPI number 1265051999
LBN Legal business name Martinez, Amanda Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2020
Last updated Aug 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265051999 NPPES
Indiana MEDICAID 300038906

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