NPI Code Details Logo

NPI 1992669576

NPI 1992669576 : JAMES H. MARTINEAU, DMD, PLLC : BOUNTIFUL, UT

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1992669576
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    JAMES H. MARTINEAU, DMD, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/09/2025
-----------------------------------------------------
    Last Update Date     |    12/09/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    535 E 500 S STE 1 
-----------------------------------------------------
    City                 |    BOUNTIFUL
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84010-3879
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    385-489-0048
-----------------------------------------------------
    Fax                  |    385-489-0049
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    535 E 500 S STE 1 
-----------------------------------------------------
    City                 |    BOUNTIFUL
-----------------------------------------------------
    State                |    UT
-----------------------------------------------------
    Zip                  |    84010-3879
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    385-489-0048
-----------------------------------------------------
    Fax                  |    385-489-0049
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/ORTHODONTIST
-----------------------------------------------------
    Name                 |     JAMES  MARTINEAU 
-----------------------------------------------------
    Credential           |    DMD
-----------------------------------------------------
    Telephone            |    801-510-8625
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QD0000X
-----------------------------------------------------
    Taxonomy Name        |    Dental Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.