Margaret Antoinette Martinez, RDH, BS
Individual provider Active NPI Dental Hygienist · Chama, NM
NPI 1710006002 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710006002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- DH 1522 (NM)
- Practice address
- 211 North Pine
Chama, NM 87520 - Phone
- (505) 156-2901
- Fax
- (505) 756-2821
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH 1522 | NM | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Teeth | Dental Hygienist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH 1522 | NM | Yes |
Addresses
Primary practice location
211 North Pine
Chama, NM 87520
Mailing address
211 North Pine Avenue
P O Box 1186
Chama, NM 87520
Phone (505) 156-2901
Other providers in Chama, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.