# COREY MARTINEZ DDS LLC- BINFORD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Martinez Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164081113
- **Authorized official:** DR. COREY D MARTINEZ DDS (OWNER/ DENTIST)
- **Authorized official phone:** (317) 671-5066

## Contact information

- **Practice address:** 2204 S PARK AVE, ALEXANDRIA, IN 46001-8059
- **Practice address phone:** (765) 204-2223
- **Mailing address:** 2204 S PARK AVE, ALEXANDRIA, IN 46001-8059
- **Mailing address phone:** (765) 204-2223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 06/12/2019