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NPI Code Detail

MEDICARE: KAREN E MARTINEZ DDS

MEDICARE: KAREN E MARTINEZ DDS
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
11223G0001XGeneral Practice DentistryD12165OR
21223G0001XGeneral Practice Dentistry56270CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508048687
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN E MARTINEZ DDS
Provider Business Mailing Address
First Line : 1701 NW HAWTHORNE AVE
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1051
Country : US
Telephone Number : 541-479-6393
Fax Number : 541-479-6489
Provider Business Practice Location Address
First Line : 1701 NW HAWTHORNE AVE
Second Line :
City : GRANTS PASS
State : OR
Zip : 97526-1051
Country : US
Telephone Number : 541-479-6393
Fax Number : 541-479-6489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2007
Last Update Date : 12/01/2025

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Directions to “ KAREN E MARTINEZ DDS” Practice Location

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