# MARTINEZ ORTHODONTICS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851830806
- **Authorized official:** DR. BARBARA JEAN UTERMARK DMD (PRESIDENT)
- **Authorized official phone:** (706) 860-5884

## Contact information

- **Practice address:** 4469 COLUMBIA RD STE B, MARTINEZ, GA 30907-4573
- **Practice address phone:** (706) 860-5884
- **Practice address fax:** (706) 860-2100
- **Mailing address:** 4469 COLUMBIA RD STE B, MARTINEZ, GA 30907-4573
- **Mailing address phone:** (706) 860-5884
- **Mailing address fax:** (706) 860-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 8593 | GA | Yes |

## Other

- **Enumeration date:** 02/22/2017
- **Last updated:** 02/22/2017