Provider Demographics
NPI:1912126194
Name:REID W. MONTINI
Entity Type:Organization
Organization Name:REID W. MONTINI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REID
Authorized Official - Middle Name:WALLACE
Authorized Official - Last Name:MONTINI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS, PA
Authorized Official - Phone:352-284-2915
Mailing Address - Street 1:3201 SW 34TH AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8471
Mailing Address - Country:US
Mailing Address - Phone:352-237-3366
Mailing Address - Fax:352-237-3514
Practice Address - Street 1:3201 SW 34TH AVE STE 202
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8471
Practice Address - Country:US
Practice Address - Phone:352-237-3366
Practice Address - Fax:352-237-3514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN167901223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty