Individual
DR. JEFFREY WILLIAM MARTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10154 WOODBURY DR, WEXFORD, PA 15090-9580
(724) 759-7948
(724) 759-7952
Mailing address
118 BITTERSWEET CIR, VENETIA, PA 15367-1000
(412) 996-0889
(724) 260-0044
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
DS035406
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019087640002
—
PA
01
—
1083792643
AETNA
—
01
—
130
AVESIS (UPMC FOR YOU)
—
01
—
1418485
UNITED CONCORDIA
PA
01
—
1418485
GATEWAY (UNITED CONCORDIA)
—
01
—
170826
UNITED HEALTHCARE
—
Enumeration date
11/01/2006
Last updated
04/26/2015
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