NPIMap

Christopher Javier Martinez, DDS

Individual provider Active NPI General Practice Dentistry · Alton, TX

NPI 1598055063 · NPPES record last updated Apr 24, 2023

Key facts

NPI
1598055063
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
26120 (TX)
Practice address
3509 E Main Ave Ste 103
Alton, TX 78573-1562
Phone
(565) 839-6019
Fax
(956) 583-9603
NPI assigned
Apr 18, 2011
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
26120TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher J. Martinez, DDS, PA General Practice Current
since Apr 30, 2023		 Accepting new patients

Locations

3509 E Main Ave
Ste 103
Alton, TX 78573
Phone (956) 583-9601

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26120 TX Yes

Addresses

Primary practice location

3509 E Main Ave Ste 103
Alton, TX 78573-1562

Mailing address

10124 N Glasscock Rd
Mission, TX 78573-5910
Phone (210) 422-1141

Other providers in Alton, TX

All providers in Alton, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.