IndividualActive
Amanda Martinez
NPI 1265051999 · Pediatric Dentistry · West Lafayette, IN
Provider details
- NPI number
- 1265051999
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 12013374A (IN)
Specialties & taxonomies
Dental Providers
Practice location
520 W Navajo St
West Lafayette, IN 47906-1999
Phone: (765) 463-5437
Approximate (ZIP-level) locationGet directions
Mailing address
520 W Navajo St
West Lafayette, IN 47906-1999
Additional practice locations (1)
- 8930 W 10th StIndianapolis, IN 46234-2132Phone: (317) 271-6060
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2025-06-25
- Certified
- 2025-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.