Provider Type Icon

RYAN L MONTGOMERY DDS MD PLLC NPI 1477925873


NPI Information

NPI: 1477925873
Provider Name: RYAN L MONTGOMERY DDS MD PLLC

Doing Business As: ANGELO ORAL AND MAXILLOFACIAL SURGERY

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3012 GREEN MEADOW DR
SAN ANGELO, TX
ZIP 76904
Phone: (325) 944-3565
Get Directions

RYAN L MONTGOMERY DDS MD PLLC is an oral and maxillofacial surgery clinic center in San Angelo, TX. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. RYAN L MONTGOMERY DDS MD PLLC NPI is 1477925873. The provider is registered as an organization entity type.
The provider Is Doing Business As Angelo Oral And Maxillofacial Surgery.

The provider's business location address is:

3012 GREEN MEADOW DR
SAN ANGELO, TX
ZIP 76904-974
Phone: (325) 944-3565
Fax: (325) 924-8518

The provider's authorized official is Ryan Montgomery .
The authorized official title is Oral And Maxillofacial Surgeon and has the following contact phone number (325) 944-3565.

The enumeration date for this NPI number is 10/24/2015 and was last updated on 10/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery29483TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.