Montandon, Richard John

Montandon, Richard John is an individual health care provider with primary practice located at 1859 N Lakewood Dr Ste 101 , Coeur D Alene ID 83814-2661. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Montandon, Richard John can be contacted via phone (208) 818-6527.

Contact Information

Primary practice address
1859 N Lakewood Dr Ste 101 Coeur D Alene ID 83814-2661
Phone: (208) 818-6527
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE60688067 Washington
Dental Providers / Dentist Anesthesiologist 1223D0004X DS039119 Pennsylvania
Dental Providers / Dentist Anesthesiologist 1223D0004X GA60690773 Washington

Profile Details

NPI number 1164650198
LBN Legal business name Montandon, Richard John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2009
Last updated May 25th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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