Organization · Type 2 NPI

Montgomery Comprehensive Dental Center

Exclusive Provider Organization · Conroe, TX

NPI number 1619354693 Active

Practice location

2210 N Frazier St, Suite #120
Conroe, TX 77303-1780

Fax (936) 539-3639

Mailing address

0951 Lonestar Parkway
Montgomery, TX 77356-0951

Specialties and licenses

TaxonomyCodeLicense
Exclusive Provider Organization Primary 302F00000X16499 (TX)

Exclusive Provider Organization: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay t…

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About NPI 1619354693

Montgomery Comprehensive Dental Center's National Provider Identifier is 1619354693, issued on Apr 29, 2015. The primary taxonomy on file is Exclusive Provider Organization (302F00000X), and the practice location is in Conroe, TX. The record was last updated on Apr 29, 2015.