Provider Demographics
NPI:1497835367
Name:MONTAMARTA, FRANCISCO T (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:T
Last Name:MONTAMARTA
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 1:12545 ORANGE DR
Mailing Address - Street 2:STE. 501
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-4306
Mailing Address - Country:US
Mailing Address - Phone:954-723-7771
Mailing Address - Fax:888-441-3982
Practice Address - Street 1:12545 ORANGE DR
Practice Address - Street 2:STE. 501
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33330-4306
Practice Address - Country:US
Practice Address - Phone:954-723-7771
Practice Address - Fax:888-441-3982
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN143451223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics