Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
THE TOOTH PLACE, P.A.
Active
Organization
THE TOOTH PLACE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY S MARTINEZ D.D.S. (DENTIST)
(956) 542-9200
Entity
Organization
Contact information
Practice address
2501 PAREDES LINE RD STE B3, BROWNSVILLE, TX 78526-1195
(956) 542-9200
(956) 542-9913
Mailing address
2501 PAREDES LINE RD STE B3, BROWNSVILLE, TX 78526-1195
(956) 542-9200
(956) 542-9913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20613
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151128901
—
TX
05
—
151128902
—
TX
05
—
172064101
—
TX
01
—
B20613-1
TX CHIPS GROUP NUMBER
TX
Enumeration date
12/20/2006
Last updated
06/29/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up