Montana Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MONTANA DENTAL, PLLC

Practice address

5150 Montana Ave
El Paso, TX 79903-4904

Phone

(940) 808-1940

NPI assigned

Jun 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Everett Chad Evans

Title

Owner

Phone

(940) 808-1940

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1164783262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674330",
            "telephone_number": "940-808-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034904",
            "telephone_number": "940-808-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-808-1940"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yehudi Ailynnette Monrreal, M.D.
• Noel Monsavaiz
• Jose J. Monsivais, M.D.
• Cristal Montalvo
• Denise Montalvo, LPC, NCC
• Montana Medical Clinic-Manuel Hernandez,M.D.
• Montana Pediatric Night Clinic PA
• Yvette Monique Montana, FNP-C
• Michelle Josech Montanez Rivera
• Armando Montanez

• General Practice Dentistry in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.