Healthcare Provider Details

I. General information

NPI: 1740085638
Provider Name (Legal Business Name): ALEJANDRO ALBARRAN MONTOYA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2025
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST DEPT OF
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

4651 LE DONNE DR
SACRAMENTO CA
95823-1222
US

V. Phone/Fax

Practice location:
  • Phone: 916-823-6869
  • Fax:
Mailing address:
  • Phone: 916-823-6869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDR61673064
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDENT.DE.70105329
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: