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HERO DENTAL OF ESSEX PC-RONALD B MONTANO DDS NPI 1639449267


NPI Information

NPI: 1639449267
Provider Name: HERO DENTAL OF ESSEX PC-RONALD B MONTANO DDS

Doing Business As: ADVENTURE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1346 EASTERN BLVD
ESSEX, MD
ZIP 21221
Phone: (410) 406-3006
Get Directions

HERO DENTAL OF ESSEX PC-RONALD B MONTANO DDS is a general practice dentist in Essex, MD. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. HERO DENTAL OF ESSEX PC-RONALD B MONTANO DDS NPI is 1639449267. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Adventure Dental.

The provider's business location address is:

1346 EASTERN BLVD
ESSEX, MD
ZIP 21221-423
Phone: (410) 406-3006
Fax: (410) 406-3007

The provider's authorized official is Shaun Urbanozo .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 323-2362.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 10/22/2019.


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
11223G0001XDentistGeneral PracticeMARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1052827700MEDICAIDMARYLAND

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

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