William T Martey DMD MD a Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52119 Issued in CA

Legal business name

WILLIAM T MARTEY DMD MD A PROFESSIONAL CORPORATION

Doing business as

Dental Spa of Orange

Practice address

2291 N Tustin St
Orange, CA 92865-3703

Phone

(714) 282-2525

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Willaim T Martey, DMD MD

Title

Dentist Owner

Phone

(714) 282-2525

Specialties & licenses 1

Addresses

Other names 1

• Dental Spa of Orange Doing business as

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477699200000",
    "number": "1376094698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653703",
            "telephone_number": "714-282-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 N TUSTIN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928653703",
            "telephone_number": "714-282-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T MARTEY DMD MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-29",
        "status": "A",
        "authorized_official_last_name": "MARTEY",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "714-282-2525",
        "authorized_official_credential": "DMD MD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Spa of Orange",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2016; 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.