Maia M Montoya, DDS

Individual provider Active NPI General Practice Dentistry · Bell, CA

NPI 1285705475 · NPPES record last updated Jan 8, 2008

Key facts

NPI
1285705475
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
53469 (CA)
Practice address
4805 Florence Ave
Bell, CA 90201-4316
Phone
(323) 771-2014
NPI assigned
Nov 11, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
53469CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Meshkinfam DDS, Inc. Past Accepting new patients
Maia Montoya DDS Inc General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 53469 CA Yes

Addresses

Primary practice location

4805 Florence Ave
Bell, CA 90201-4316

Mailing address

4805 Florence Avenue
Bell, CA 90201-4316
Phone (323) 771-2014

Other providers in Bell, CA

All providers in Bell, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.