| Montana Dental, Pllc | |
|
5150 Montana Ave El Paso TX 79903-4904 | |
| (940) 808-1940 | |
| Not Available |
| Full Name | Montana Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5150 Montana Ave, El Paso, Texas |
| Authorized Official Name and Position | Everett Chad Evans (OWNER) |
| Authorized Official Contact | 9408081940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Dental, Pllc Po Box 674330 Dallas TX 75267-4330 Ph: (940) 808-1940 | Montana Dental, Pllc 5150 Montana Ave El Paso TX 79903-4904 Ph: (940) 808-1940 |
| NPI Number | 1164783262 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164783262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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