Provider Demographics
NPI:1063490423
Name:JUNKER, MONTE CURTIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONTE
Middle Name:CURTIS
Last Name:JUNKER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11470
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97440-3670
Mailing Address - Country:US
Mailing Address - Phone:541-370-7120
Mailing Address - Fax:541-516-4081
Practice Address - Street 1:1025 VEY WAY
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058
Practice Address - Country:US
Practice Address - Phone:543-370-7120
Practice Address - Fax:541-516-4081
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA79461223G0001X
ORD110211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice