Martinez Orthodontics, PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

8593 Issued in GA

Legal business name

MARTINEZ ORTHODONTICS, PC

Practice address

4469 Columbia Rd Ste B
Martinez, GA 30907-4573

Phone

(706) 860-5884

Fax

(706) 860-2100

NPI assigned

Feb 22, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Jean Utermark, DMD

Title

President

Phone

(706) 860-5884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1851830806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 COLUMBIA RD STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074573",
            "telephone_number": "706-860-5884",
            "fax_number": "706-860-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 COLUMBIA RD STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074573",
            "telephone_number": "706-860-5884",
            "fax_number": "706-860-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "UTERMARK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-860-5884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "8593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Martin, LMT, MMP, BSKIN
• Robert Lane Martin, DC
• Martinez Apothecary
• Martinez Apothecary Inc
• Martinez Eye Care,P.C.
• Martinez Urgent Care
• Tammie Maryland
• Quiana Matthews, LMFT
• Chantel Mayo, QASP
• McCarthy Counseling Services Inc.

• Exclusive Provider Organization in Martinez, GA
• Providers in Martinez, GA by specialty
• Exclusive Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.