Provider Demographics
NPI:1154542082
Name:MONTES, MADELEINE E (D D S)
Entity type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:E
Last Name:MONTES
Suffix:
Gender:F
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1403 W BROOKLAKE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3209
Mailing Address - Country:US
Mailing Address - Phone:713-643-4494
Mailing Address - Fax:713-643-4495
Practice Address - Street 1:7002 QUINCE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2725
Practice Address - Country:US
Practice Address - Phone:713-643-4494
Practice Address - Fax:713-643-4495
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX147901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice