| Doctor Name: | DR. ANTHONY JASON MONTEIRO |
| NPI Number: | 1215215652 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.M.D |
| License Number: | DS038938 |
| Business Practice Address: | 5030 State Road #2-700 Drexel Hill, PA - 19026 |
| Business Phone Number: | 6106221949 |
| Business Fax Number: | |
| Mailing Address: | 149 Hunsicker Dr, COLLEGEVILLE |
| State: | PA |
| Postal Code: | 194262666 |
| Phone Number: | 2159152409 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2011 |
| NPI Last Update Date: | 12/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | DS038938 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |