Montano, Mark
Montano, Mark is an individual health care provider with primary practice located at 6436 S Us Highway 85-87 Suite C, Fountain CO 80817-1005. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Montano, Mark can be contacted via phone (719) 392-5111.Contact Information
Primary practice address
6436 S Us Highway 85-87 Suite C
Fountain CO 80817-1005
Phone: (719) 392-5111
Fax: (719) 392-4143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 202903 | Colorado |
Profile Details
| NPI number | 1477987279 |
|---|---|
| LBN Legal business name | Montano, Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2013 |
| Last updated | Mar 9th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477987279 | NPPES |
| Colorado | MEDICAID | 39175111 |
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