Dr. Richard John Montandon
Dentist Dentist Anesthesiologist
1859 N Lakewood Dr Ste 101
Coeur D Alene
, Idaho 83814-2661
Dr. Richard John Montandon
Dentist Dentist Anesthesiologist
1859 N Lakewood Dr Ste 101
Coeur D Alene
, Idaho 83814-2661
(208) 818-6527
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About
Features
Specialties
- Dentist
- Dentist Anesthesiologist
Languages spoken
- English
Location
First Address
- Dr. Richard John Montandon
- 1859 N Lakewood Dr Ste 101
- Coeur D Alene, ID
- Zip : 83814-2661
- Phone : (208) 818-6527
Second Address
- Dr. Richard John Montandon
- 1859 N Lakewood Dr Ste 101
- Coeur D Alene, ID
- Zip : 83814-2661
- Phone : (208) 818-6527
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DE60688067 | WA |
| N | 1223D0004X | Dentist Anesthesiologist | DS039119 | PA |
| Y | 1223D0004X | Dentist Anesthesiologist | GA60690773 | WA |
National Provider Identifier
| NPI | 1164650198 |
|---|---|
| Provider Name | Dr. Richard John Montandon |
| First Address | Coeur D Alene, ID 83814-2661 |
| Second Address | Coeur D Alene, ID 83814-2661 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2009 |
| Last Update Date | 25/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.