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1720670516 NPI number — ALEXA PAIGE MARTINELLI DMD

NPI Number: 1720670516
Health Care Provider/Practitioner: ALEXA PAIGE MARTINELLI DMD

Information about “1720670516” NPI (ALEXA PAIGE MARTINELLI DMD) exists in 1720670516 in HTML format HTML  |  1720670516 in plain Text format TXT  |  1720670516 in PDF (Portable Document Format) PDF  |  1720670516 in an XML format XML  formats.

NPI Number : 1720670516 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720670516",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTINELLI",
    "FirstName": "ALEXA",
    "MiddleName": "PAIGE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DMD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "BONNER",
    "OtherFirstName": "ALEXA",
    "OtherMiddleName": "PAIGE",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1978",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALISBURY",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21802-1978",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-749-1015",
    "MailingAddressFaxNumber": "410-749-0654",
    "FirstLinePracticeLocationAddress": "12165 ELM ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PRINCESS ANNE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21853-1358",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-651-5151",
    "PracticeLocationAddressFaxNumber": "410-651-4256",
    "EnumerationDate": "02/03/2021",
    "LastUpdateDate": "03/31/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "22DI03024700",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223P0221X",
          "TaxonomyName": "Pediatric Dentistry",
          "LicenseNumber": "18471",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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