ANDREA MARTINEZ LLC
NPI 1629678602
Clinic/Center - Dental in Phoenix, AZ

Active since October 28, 2020
4731 E SOUTHERN AVE, PHOENIX, AZ 85042(602) 481-4478 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Martinez Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA MARTINEZ LLC (NPI 1629678602), doing business as Southern Smiles, is a healthcare organization registered as a dental in Phoenix, Arizona and active in the NPI registry since October 2020. The organization lists Andrea Martinez, Owner Doctor, as its authorized official.

NPPES Registry Identity

NPI1629678602
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANDREA MARTINEZ LLC
Location Address4731 E SOUTHERN AVEPhoenix, AZ 85042-4150
Mailing Address1423 E Yucca StPhoenix, AZ 85020-1424
Organization SubpartNo
Authorized OfficialAndrea MartinezOwner Doctor · (602) 481-4478
Enumeration DateOctober 28, 2020
NPPES CertifiedSeptember 18, 2020
NPI 1629678602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
4731 E SOUTHERN AVE, Phoenix, AZ 85042

Other Names 1

Doing Business AsSouthern Smiles

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
4731 E SOUTHERN AVE
PHOENIX, AZ 85042
Dentist (General Practice)
4731 E SOUTHERN AVE
PHOENIX, AZ 85042
Dentist
4731 E SOUTHERN AVE
PHOENIX, AZ 85042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Martinez LLC's NPI number?

The NPI number for Andrea Martinez LLC is 1629678602. It was assigned to this organization in the NPPES registry on October 28, 2020. The provider is doing business as Southern Smiles.

Where is Andrea Martinez LLC located?

Andrea Martinez LLC is located at 4731 E Southern Ave, Phoenix, AZ 85042. The listed phone number is (602) 481-4478.

What is Andrea Martinez LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Andrea Martinez LLC was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.