MONTGOMERY RADIOGRAPHIC SVS NPI 1316151202

NPI Information

  • NPI: 1316151202
  • Provider Name: MONTGOMERY RADIOGRAPHIC SVS
  • Classification: Dentist - 1223X0008X
  • Specialization: Oral and Maxillofacial Radiology
  • Entity Type: Organization
  • Address: 720 N TUSTIN AVE STE 204
    SANTA ANA, CA
    ZIP 92705
  • Phone: (714) 835-7260

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NPI Details

MONTGOMERY RADIOGRAPHIC SVS is an oral and maxillofacial radiology dentist in Santa Ana, CA. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. MONTGOMERY RADIOGRAPHIC SVS NPI is 1316151202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

720 N TUSTIN AVE STE 204
SANTA ANA, CA
ZIP 92705-606
Phone: (714) 835-7260
Fax: (714) 835-5808

The provider's authorized official is Monte Matthew Montgomery .
The authorized official title is Owner Xray Technician and has the following contact phone number (714) 835-7260.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.

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
11223X0008XDentistOral and Maxillofacial RadiologyRHP 52036CALIFORNIAYes

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
1CGP168497OTHERCALIFORNIAPROVIDER NUMBER

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: 11/21/2025

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