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NPI Code Detail

MEDICARE: MARTINEZ EDWARDS DDS PC

MEDICARE: MARTINEZ EDWARDS DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1225971500
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTINEZ EDWARDS DDS PC
Provider Business Mailing Address
First Line : 1000 WIGWAM PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89074-8164
Country : US
Telephone Number : 702-777-4700
Fax Number :
Provider Business Practice Location Address
First Line : 1000 WIGWAM PKWY STE 120
Second Line :
City : HENDERSON
State : NV
Zip : 89074-8164
Country : US
Telephone Number : 702-777-4700
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : LETITIA EDWARDS
Credential : DDS
Telephone Number : 925-998-1166
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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