Montatskiy, Maksim

Montatskiy, Maksim is an individual health care provider with primary practice located at 5439 Durand Ave Ste 210 , Mount Pleasant WI 53406-5058. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics. Dental Providers / Dentist is his primary health care specialty. Montatskiy, Maksim can be contacted via phone (262) 583-0070.

Contact Information

Primary practice address
5439 Durand Ave Ste 210 Mount Pleasant WI 53406-5058
Phone: (262) 583-0070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.030546 Illinois
Dental Providers / Endodontics 1223E0200X 021.003011 Illinois
Dental Providers / Dentist 122300000X 1001127-15 Wisconsin

Profile Details

NPI number 1851771703
LBN Legal business name Montatskiy, Maksim
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Oct 28th, 2021 - about 4 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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