Individual provider · Type 1 NPI
Richard John Montandon, DDS
Dental Anesthesiology · Coeur D Alene, ID
Practice location
1859 N Lakewood Dr Ste 101
Coeur D Alene, ID 83814-2661
Other practice locations
- 105 W 8th Ave Ste 123C, Spokane, WA 99204-2302 · (509) 474-7498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DE60688067 (WA) |
| Dental Anesthesiology | 1223D0004X | DS039119 (PA) |
| Dental Anesthesiology Primary | 1223D0004X | GA60690773 (WA) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
2 other providers at this address
About NPI 1164650198
Richard John Montandon, DDS's National Provider Identifier is 1164650198, issued on Jun 29, 2009. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Coeur D Alene, ID. The record was last updated on May 25, 2021.