Provider Demographics
NPI:1669591228
Name:LONTOS, ERNEST T (DDS)
Entity type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:T
Last Name:LONTOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:840 CENTRAL PKWY E
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5551
Mailing Address - Country:US
Mailing Address - Phone:972-578-7800
Mailing Address - Fax:972-867-9211
Practice Address - Street 1:2929 CUSTER RD
Practice Address - Street 2:SUITE 302
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4418
Practice Address - Country:US
Practice Address - Phone:972-578-7800
Practice Address - Fax:972-867-9211
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics