DR. EDWIN GONZALEZ MONTOYA


Address: 6585 E State St, Rockford, IL 61108-2542
Phone: 7875879675

DR. EDWIN GONZALEZ MONTOYA (NPI# 1396255097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396255097
Entity Type Individual
Full Name DR. EDWIN GONZALEZ MONTOYA
Credential OMFS
Practice Address 6585 E State St
Rockford
IL 61108-2542
Mailing Address 3618 Elmira Ave
Mcallen
TX 78503-7724
Practice Telephone 7875879675
Mailing Telephone 7875879675
Enumeration Date 2017-10-07
Last Update Date 2017-12-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 019031410 IL Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
019031410 IL Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
021002849 IL Dental Providers

Office Location

Street Address 6585 E STATE ST
City ROCKFORD
State IL
Zip Code 61108-2542

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952862617 Isr Enterprises, Inc. Homemaker 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 2019-03-26
1003306465 Adrienne Nicole Black Behavior Technician 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 2018-05-11
1184085201 Integrative Healing Center, LLC Clinic/Center 6019 Fincham Drive, Rockford, IL 61108 2016-03-17
1730547936 Perryville Dentist PC Dentist 845 S Perryville Rd, Unit 119, Rockford, IL 61108 2016-02-02
1023489853 Nicole Ping Ticknor Counselor 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 2015-10-20
1275940348 Northwest Home Care, Inc. Home Health 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 2014-07-21
1487072922 Alecia Greenlee Psychiatry & Neurology Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 2014-04-02
1871925446 Maria Laura Gustafson Interpreter 3208 Wesleyan Ave., Rockford, IL 61108 2013-08-06
1346582822 Joseph Peevey Pathology 5666 E State Street, Department of Pathology, Rockford, IL 61108 2013-03-21
1134466923 James Henry Peck Hearing Instrument Specialist 2424 Charles St, Rockford, IL 61108 2013-01-14
Find all providers in zip 61108

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952887374 Winnebago Braces, LLC. Dentist 555 N Court St Ste 110, Rockford, IL 61103-6898 2018-07-18
1811374945 Alexandria Hawkins Dentist 6050 Brynwood Dr Ste 102, Rockford, IL 61114-6579 2015-04-27
1003977224 Edward Paul Rentschler Dentist 449 Roxbury Road, Rockford, IL 61107 2006-12-12
1346318532 Michael Degould Dds PC Dentist 2835 Mcfarland Road, Suite C, Rockford, IL 61107 2006-12-04
1134127491 David A. Francis Iv Dentist 4035 Morsay Dr, Rockford, IL 61107-4871 2005-07-11
1225574775 Swedishamerican Hospital Dentist 425 Roxbury Rd, Rockford, IL 61107 2017-01-09
1245673441 Michael David Degould Dentist 2835 Mcfarland Rd, Suite C, Rockford, IL 61107-6819 2013-04-08
1538394580 Matthew James Bruksch Dentist 449 Roxbury Road, Rockford, IL 61107 2009-05-20
1992975551 Edward P. Rentschler Dds, PC Dentist 425 Roxbury Rd, Rockford, IL 61107-5075 2008-03-10
1598805822 Kurt Fredric Jensen Dentist 6050 Brynwood Dr, Ste 102, Rockford, IL 61114-6579 2007-02-07
Find all providers in ROCKFORD

Competitor

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City ROCKFORD
Zip Code 61108

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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