Provider Demographics
NPI:1295499929
Name:MONTOUTE, FELICIA EMMA (RDH)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:EMMA
Last Name:MONTOUTE
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOIS D'ORANGE C/O RODNEY BAY P.O.
Mailing Address - Street 2:GROS ISLET
Mailing Address - City:GROS ISLET
Mailing Address - State:SAINT LUCIA
Mailing Address - Zip Code:LC 01 401
Mailing Address - Country:LC
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9151 EST. THOMAS
Practice Address - Street 2:STE. 203
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-776-6056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI084124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty