Lindsay Jane Montague
Dentist Oral and Maxillofacial Pathology
4410 W Melrose Ave
Tampa
, Florida 33629-5524
Lindsay Jane Montague
Dentist Oral and Maxillofacial Pathology
4410 W Melrose Ave
Tampa
, Florida 33629-5524
(703) 615-8688
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Lindsay Jane Montague
- 4410 W Melrose Ave
- Tampa, FL
- Zip : 33629-5524
- Phone : (703) 615-8688
Second Address
- Lindsay Jane Montague
- 4410 W Melrose Ave
- Tampa, FL
- Zip : 33629-5524
- Phone : (941) 720-9747
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | DN19481 | FL |
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DN19481 | FL |
National Provider Identifier
| NPI | 1306134093 |
|---|---|
| Provider Name | Lindsay Jane Montague |
| First Address | Tampa, FL 33629-5524 |
| Second Address | Tampa, FL 33629-5524 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2011 |
| Last Update Date | 17/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05652541 | (05) | MS |
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.