Individual provider · Type 1 NPI

Mackenson Montas

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1023638491 Active

Practice location

2041 Georgia Ave NW
Washington, DC 20060-0002

Call (516) 754-1168 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X22DI02801400 (NJ)
Dentist 122300000XDN1859008 (MA)
General Practice Dentistry 1223G0001X22DI02801400 (NJ)
General Practice Dentistry 1223G0001XDN1859008 (MA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023638491

Mackenson Montas's National Provider Identifier is 1023638491, issued on Apr 25, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Apr 19, 2023.