Provider Demographics
NPI:1801845771
Name:DONALD R. MONTANO, D.D.S., M.S.D, A PROFESSIONAL CORP.
Entity Type:Organization
Organization Name:DONALD R. MONTANO, D.D.S., M.S.D, A PROFESSIONAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:R
Authorized Official - Last Name:MONTANO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:661-665-7600
Mailing Address - Street 1:9330 STOCKDALE HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3614
Mailing Address - Country:US
Mailing Address - Phone:661-665-7600
Mailing Address - Fax:
Practice Address - Street 1:9330 STOCKDALE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3614
Practice Address - Country:US
Practice Address - Phone:661-665-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADY0334981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty