Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MONTANO DDS DENTAL CENTER PC
Active
Organization
MONTANO DDS DENTAL CENTER PC
Active
Other names
Adventure Dental, Vision and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN URBANOZO (CREDENTIALING MANAGER)
(719) 323-2362
Entity
Organization
Contact information
Practice address
5632 THE ALAMEDA, BALTIMORE, MD 21239-2737
(410) 435-0008
(410) 435-0444
Mailing address
2221 E BIJOU ST, STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 955-8896
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MD
122300000X
Dentist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013397644
—
MD
Enumeration date
03/12/2009
Last updated
11/19/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers