IndividualActive
Dominick Martini, MD
NPI 1104995380 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1104995380
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036088046 (IL)
Practice location
100 Mario Capecchi Dr
Primary Children'S Medical Center
Salt Lake City, UT 84113-1103
Phone: (801) 662-6755
Mailing address
100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.