Nicole Martino, M.S., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN21306 Issued in FL

Practice address

7603 Seminole Blvd Ste B
Seminole, FL 33772-4888

Phone

(727) 391-0269

NPI assigned

Jul 6, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nicole Martino DMD, P.a.

  dba Innovative Dental Solutions of Seminole

  • Dental Clinic/Center
  • Seminole, FL
  • NPI 1316571383
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1194108407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 SEMINOLE BLVD STE B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724888",
            "telephone_number": "727-391-0269",
            "fax_number": "727-398-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 SEMINOLE BLVD STE B",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724888",
            "telephone_number": "727-391-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.S., D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tosha Marie Marks Vickers
• Hillary Myriam Marrero-Torres
• Veronica Marsh, PHARM. D.
• Rebecca Dawn Martin, ARNP
• Andrea Martinez, DMD
• Mary Ellen Kramp, DPT
• Marc Edward Mason
• Samantha Ann Mason, D.O.
• Trudi Price Massaro, D.M.D.
• Eve L Massarsky, PA-C

• Dentist in Seminole, FL
• Providers in Seminole, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.