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DR. RICHARD JOHN MONTANDON D.D.S. NPI 1164650198


NPI Information

NPI: 1164650198
Provider Name: DR. RICHARD JOHN MONTANDON, D.D.S.
Classification: Dentist - 1223D0004X
Entity Type: Individual

Specialization: Dentist Anesthesiologist

PECOS Registration: Yes

Address:
1859 N LAKEWOOD DR STE 101
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 818-6527
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DR. Richard John Montandon, D.D.S. is a dentist anesthesiologist dentist in Coeur D Alene, ID. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. DR. Richard John Montandon, D.D.S. NPI is 1164650198. 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:

1859 N LAKEWOOD DR STE 101
COEUR D ALENE, ID
ZIP 83814-661
Phone: (208) 818-6527

The NPI 1164650198 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).

The enumeration date for this NPI number is 6/29/2009 and was last updated on 5/25/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentistDE60688067WASHINGTONNo
21223D0004XDentistDentist AnesthesiologistDS039119PENNSYLVANIANo
31223D0004XDentistDentist AnesthesiologistGA60690773WASHINGTONYes

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: 4/28/2024

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.