MEDICARE: SHERRI ANN MARTINEZ DMD

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
1	1223G0001X	General Practice Dentistry	6972	AZ
2	1223G0001X	General Practice Dentistry	5639	NV

General Provider Information

NPI Number	:	1124114905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRI ANN MARTINEZ DMD

Provider Business Mailing Address
First Line	:	9515 GAINEY RANCH AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8019
Country	:	US
Telephone Number	:	702-341-0701
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 S VALLEY VW
Second Line	:	STE 4
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0116
Country	:	US
Telephone Number	:	702-385-7041
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/11/2011

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Directions to “ SHERRI ANN MARTINEZ DMD” Practice Location

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