Individual
DR. SAMANTHA ANN MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
1530 BUSINESS CENTER DR STE 2, FLEMING ISLAND, FL 32003-9027
(904) 215-0980
(904) 215-0952
Mailing address
1530 BUSINESS CENTER DR STE 2, FLEMING ISLAND, FL 32003-9027
(904) 215-0980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.032678
IL
122300000X
Dentist
11809
NC
122300000X
Dentist
DN25697
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN25697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225677925
CLINIC/CENTER - DENTAL
FL
Enumeration date
06/20/2020
Last updated
07/10/2024
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