Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaleb Martineau, DMD

Individual provider General Practice Dentistry · NPI 1093164980

Kaleb Martineau, DMD is a General Practice Dentistry in Surprise, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

15341 W Waddell Rd Ste B107
Surprise, AZ 85379-5169
Phone: (623) 975-3933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1770 E 5625 S Ste 2, South Ogden, UT 84403-5067 — (801) 475-1999

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D009464 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence D9464 (AZ)

Record details

NPI number1093164980
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 10, 2016
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021
Mailing address1770 E 5625 S Ste 2, South Ogden, UT 84403-5067

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