| Dr Richard John Montandon, DDS | |
|
1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814-2661 | |
| (208) 818-6527 | |
| Not Available |
| Full Name | Dr Richard John Montandon |
|---|---|
| Gender | Male |
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 1859 N Lakewood Dr Ste 101, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164650198 | NPI | - | NPPES |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard John Montandon, DDS 1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814-2661 Ph: (208) 818-6527 | Dr Richard John Montandon, DDS 1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814-2661 Ph: (208) 818-6527 |
Logan Ditto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2344 N Merritt Creek Loop, Coeur D Alene, ID 83814 Phone: 208-676-8500 | |
Wesley B Brimhall, DMD Dentist Medicare: Medicare Enrolled Practice Location: 943 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814 Phone: 855-433-6825 | |
Dr. Tais Trevelin Lowry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lincoln Way, Coeur D Alene, ID 83814 Phone: 208-874-7302 | |
Dr. Rachel B Fehling, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 943 W Ironwood Dr, #200, Coeur D Alene, ID 83814 Phone: 208-666-1793 | |
Jeffrey Patten, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2615 N Fruitland Ln, Coeur D Alene, ID 83815 Phone: 208-765-3301 | |
Dr. Daniel J Shaw, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 943 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814 Phone: 855-433-6825 | |
Dr. James J Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1025 W Ironwood Dr, Suite 1, Coeur D Alene, ID 83814 Phone: 208-667-2322 |