Provider Demographics
NPI:1487728432
Name:MARTIN-FLETCHER, PAULA J (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:PAULA
Middle Name:J
Last Name:MARTIN-FLETCHER
Suffix:
Gender:F
Credentials:DDS, PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1415 BRECKENRIDGE DR STE B
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-4864
Mailing Address - Country:US
Mailing Address - Phone:501-227-6453
Mailing Address - Fax:501-227-6551
Practice Address - Street 1:1415 BRECKENRIDGE DR STE B
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72227-4864
Practice Address - Country:US
Practice Address - Phone:501-227-6453
Practice Address - Fax:501-227-6551
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30871223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics