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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWIN GONZALEZ MONTOYA, OMFS

Active Sole Proprietor

DR. EDWIN GONZALEZ MONTOYA, OMFS is a Oral & Maxillofacial Surgery healthcare provider located in ROCKFORD, Illinois. NPI 1396255097 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · ROCKFORD, IL

Registration Details

NPI Number
1396255097
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2017 (8.8558445563272 yrs)
Last Updated
Dec 7, 2017
Licenses
019031410 (IL)
019031410 (IL)
021002849 (IL)
Sole Proprietor
Yes

Practice Information

Address
6585 E STATE ST
ROCKFORD, IL, 611082542
Browse IL providers · Browse ZIP 61108
Phone
7875879675
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
General Dentistry
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in ROCKFORD, IL

Name Credential NPI
DR. DAVID A. FRANCIS IV D.D.S. 1134127491
DR. STEPHEN WOOD ALBERS DDS 1295733210
MR. EDWARD PAUL RENTSCHLER DDS 1003977224
DR. KURT FREDRIC JENSEN D.D.S. 1598805822
MR. MATTHEW JAMES BRUKSCH DDS FACS 1538394580
DR. MICHAEL DAVID DEGOULD DDS 1245673441
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.