Individual provider · Type 1 NPI

Charles E. Montoure, DDS MS

Orthodontics and Dentofacial Orthopedics Dentistry · Green Bay, WI

NPI number 1083817845 Active

Practice location

2000 Shady Lane
Green Bay, WI 54313-9311

Fax (920) 499-7502

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	3860 (WI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1083817845

Charles E. Montoure, DDS MS's National Provider Identifier is 1083817845, issued on Jun 8, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Green Bay, WI. The record was last updated on Jul 8, 2007.