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NPI Code Detail

MEDICARE: DAVID C MONTZ DDS PA

MEDICARE: DAVID C MONTZ DDS PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332BC3200XCustomized Equipment (DME)
2122300000XDentist18724TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11952314882OTHERTXNPI

General Provider Information

NPI Number : 1396121810
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID C MONTZ DDS PA
Provider Business Mailing Address
First Line : 2443 S GALVESTON AVE
Second Line :
City : PEARLAND
State : TX
Zip : 77581-4222
Country : US
Telephone Number : 281-485-4829
Fax Number :
Provider Business Practice Location Address
First Line : 2443 S GALVESTON AVE
Second Line :
City : PEARLAND
State : TX
Zip : 77581-4222
Country : US
Telephone Number : 281-485-4829
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DAVID MONTZ
Credential : DDS
Telephone Number : 281-485-4829
Provider Enumeration Date : 08/06/2015
Last Update Date : 08/06/2015

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Directions to “DAVID C MONTZ DDS PA ” Practice Location

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