Provider Demographics
NPI:1851353312
Name:MONTOYA, RALPH GILBERT (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:GILBERT
Last Name:MONTOYA
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 ASHVILLE AVE
Mailing Address - Street 2:SUITE 30
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-6670
Mailing Address - Country:US
Mailing Address - Phone:919-851-3393
Mailing Address - Fax:
Practice Address - Street 1:204 ASHVILLE AVE
Practice Address - Street 2:SUITE 30
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6670
Practice Address - Country:US
Practice Address - Phone:919-851-3393
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC62451223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics