Organization
SAN TAN PEDIATRIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J MONTOYA D.D.S. (OWNER)
(480) 457-1693
Entity
Organization
Contact information
Practice address
2510 E HUNT HWY, SUITE #29, QUEEN CREEK, AZ 85243-5206
(480) 457-1693
(480) 457-1321
Mailing address
2510 E HUNT HWY, SUITE #29, QUEEN CREEK, AZ 85243-5206
(480) 457-1693
(480) 457-1321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285009
—
AZ
Enumeration date
08/21/2007
Last updated
10/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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