| Dr Richard Dale Martinez, DDS | |
|
2936 Highland Dr Ste 101, Slc, UT 84106-3583 | |
| (801) 467-6555 | |
| (801) 474-0103 |
| Full Name | Dr Richard Dale Martinez |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 2936 Highland Dr Ste 101, Slc, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689705782 | NPI | - | NPPES |
| 115674 | Medicaid | MT | |
| 793952 | Other | UNITED CONCORDIA | |
| 0018294 | Medicaid | NM | |
| 87384051 | Medicaid | NM | |
| DD275UT | Medicaid | AK | |
| G91893-01 | Medicaid | CA | |
| 143256 | Medicaid | SD | |
| 1017004720001 | Medicaid | PA | |
| 817463 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 275081-9922 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Dale Martinez, DDS 2936 Highland Dr Ste 101, Slc, UT 84106-3583 Ph: (801) 467-6555 | Dr Richard Dale Martinez, DDS 2936 Highland Dr Ste 101, Slc, UT 84106-3583 Ph: (801) 467-6555 |
Dr. Russell Richard Parkin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4046 S Highland Dr Ste 113, Slc, UT 84124 Phone: 801-272-9003 | |
Heather Anne Crouch, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1365 W 1000 N, Slc, UT 84116 Phone: 801-328-5756 Fax: 801-521-7463 | |
Dr. John Engh Storheim Sr., Dentist Medicare: Not Enrolled in Medicare Practice Location: 1345 E 3900 S, Slc, UT 84124 Phone: 801-272-8284 Fax: 807-277-4387 | |
Dr. Travis Alan Hickok, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Slc, UT 84132 Phone: 801-581-2220 | |
Dr. Randy Sean Barnhisel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4970 S 900 E Ste G, Slc, UT 84117 Phone: 801-262-6811 Fax: 801-685-2936 | |
Dr. Brett Michael Packham, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Suite 3550, Slc, UT 84113 Phone: 801-662-3900 | |
Adon Emery Crook, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 461 S 400 E, Slc, UT 84111 Phone: 801-539-8617 Fax: 801-537-7238 |