DR. MAX PAUL MONCAYO DDS NPI 1588636310

NPI Information

DR. Max Paul Moncayo, DDS is an oral and maxillofacial surgery dentist in Pacific Palisades, CA. The provider is an oral and maxillofacial surgery dentist 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. DR. Max Paul Moncayo, DDS NPI is 1588636310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

881 ALMA REAL DR STE T4
PACIFIC PALISADES, CA
ZIP 90272-743
Phone: (310) 459-0014

The NPI 1588636310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 4/22/2022.

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:

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