Montazem, Alex

Montazem, Alex is an individual health care provider with primary practice located at 285 E Main St Ste 108 , Smithtown NY 11787-2912. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Pathology, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Montazem, Alex can be contacted via phone (631) 265-9700.

Contact Information

Primary practice address
285 E Main St Ste 108 Smithtown NY 11787-2912
Phone: (631) 265-9700
Fax: (631) 265-9703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 042730 New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 042730 New York

Profile Details

NPI number 1730230574
LBN Legal business name Montazem, Alex
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jun 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730230574 NPPES
Other 1364282 UNITED HEALTHCARE
Other P3492579 UNITED HEALTHCARE
Other 116561 UNITED HEALTHCARE
Other 0565561 UNITED HEALTHCARE
Other 522421P UNITED HEALTHCARE
Other D99121 UNITED HEALTHCARE

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