Healthcare Provider Details

I. General information

NPI: 1023390523
Provider Name (Legal Business Name): ALMA MARTINEZ DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARIA ALMA MARTINEZ DMD

II. Dates (important events)

Enumeration Date: 09/12/2011
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S PARADISE AVE
MIDDLETON ID
83644-5809
US

IV. Provider business mailing address

12376 S ESSEX WAY
NAMPA ID
83686-5190
US

V. Phone/Fax

Practice location:
  • Phone: 208-585-0048
  • Fax: 208-466-5359
Mailing address:
  • Phone: 208-899-6838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License NumberD-PR-4382
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7486
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: