RYAN L MONTGOMERY DDS MD PLLC; NPI #1477925873

Contact Information

RYAN L MONTGOMERY DDS MD PLLC

3012 GREEN MEADOW DR
SAN ANGELO, TX 76904-6974

Phone: 325-944-3565
Fax: 325-924-8518
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for RYAN L MONTGOMERY DDS MD PLLC

NPI # 1477925873

LBN Legal business name RYAN L MONTGOMERY DDS MD PLLC

Authorized official RYAN MONTGOMERY - (ORAL AND MAXILLOFACIAL SURGEON)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/24/2015

Last updated 10/24/2015 - About 11 years ago

Identifiers

License #

29483

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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