Provider Demographics
NPI:1366556425
Name:MARTINEZ, JAVIER ERNESTO (DDS, MS, PA)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:ERNESTO
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:DDS, MS, PA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2702 REW CIR
Mailing Address - Street 2:STE. B
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4226
Mailing Address - Country:US
Mailing Address - Phone:407-656-8080
Mailing Address - Fax:407-656-9098
Practice Address - Street 1:2702 REW CIR
Practice Address - Street 2:STE. B
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4226
Practice Address - Country:US
Practice Address - Phone:407-656-8080
Practice Address - Fax:407-656-9098
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics