Individual provider · Type 1 NPI
Edwin Gonzalez Montoya, OMFS
Oral and Maxillofacial Surgery (Dentist) · Rockford, IL
NPI number
1396255097
Active
Practice location
6585 E State St
Rockford, IL 61108-2542
Mailing address
3618 Elmira Ave
Mcallen, TX 78503-7724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019031410 (IL) |
| General Practice Dentistry | 1223G0001X | 019031410 (IL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 021002849 (IL) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
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About NPI 1396255097
Edwin Gonzalez Montoya, OMFS's National Provider Identifier is 1396255097, issued on Oct 7, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Rockford, IL. The record was last updated on Dec 7, 2017.