Provider Demographics
NPI:1770599714
Name:MONTOYE, ALLEN P (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:P
Last Name:MONTOYE
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 1:211 S CRAPO ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2961
Mailing Address - Country:US
Mailing Address - Phone:989-772-5960
Mailing Address - Fax:989-772-5971
Practice Address - Street 1:211 S CRAPO ST
Practice Address - Street 2:SUITE C
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2961
Practice Address - Country:US
Practice Address - Phone:989-772-5960
Practice Address - Fax:989-772-5971
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010112401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice