Montoya, Samantha Ann

Montoya, Samantha Ann is an individual health care provider with primary practice located at 1530 Business Center Dr Ste 2 , Fleming Island FL 32003-9027. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Montoya, Samantha Ann can be contacted via phone (904) 215-0980.

Contact Information

Primary practice address
1530 Business Center Dr Ste 2 Fleming Island FL 32003-9027
Phone: (904) 215-0980
Fax: (904) 215-0952
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.032678 Illinois
Dental Providers / Dentist 122300000X DN25697 Florida
Dental Providers / Dentist 122300000X 11809 North Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN25697 Florida

Profile Details

NPI number 1104442631
LBN Legal business name Montoya, Samantha Ann
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2020
Last updated Jul 10th, 2024 - about 5 months 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 1104442631 NPPES
Florida Other 1225677925 CLINIC/CENTER - DENTAL

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