OrganizationActive
Andrea Martinez LLC
NPI 1629678602 · Dental Clinic/Center · Phoenix, AZ
Andrea Martinez LLC is a Dental Clinic/Center organization in Phoenix, AZ (NPI 1629678602).
Provider details
- NPI number
- 1629678602
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Andrea Martinez, Owner Doctor(602) 481-4478
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4731 E Southern Ave
Phoenix, AZ 85042-4150
Phone: (602) 481-4478
Street-level locationGet directions
Mailing address
1423 E Yucca St
Phoenix, AZ 85020-1424
Other names (DBA / former)
- Doing business as
- Southern Smiles
Registry dates
- Enumerated
- 2020-10-28
- Last updated
- 2020-10-28
- Certified
- 2020-09-18
Frequently asked questions
- What is Andrea Martinez LLC's NPI number?
- Andrea Martinez LLC's National Provider Identifier (NPI) is 1629678602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Andrea Martinez LLC?
- Andrea Martinez LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Andrea Martinez LLC located?
- Andrea Martinez LLC's practice location on file with NPPES is 4731 E Southern Ave, Phoenix, AZ 85042-4150.
- What is Andrea Martinez LLC's phone number?
- The practice phone number listed in the NPPES registry for Andrea Martinez LLC is (602) 481-4478.
- Who is the authorized official for Andrea Martinez LLC?
- The authorized official listed on Andrea Martinez LLC's NPPES record is Andrea Martinez, Owner Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Andrea Martinez LLC's NPI active?
- Yes — Andrea Martinez LLC's NPI (1629678602) is active in the NPPES registry as of the last update on 2020-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.