IndividualActive
Ryan Montgomery
NPI 1679714604 · Oral & Maxillofacial Surgery (D.M.D.) · San Angelo, TX
Provider details
- NPI number
- 1679714604
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 29483 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3012 Green Meadow Drive
San Angelo, TX 76904-2262
Phone: (502) 777-9016
Approximate (ZIP-level) locationGet directions
Mailing address
5122 Beverly Dr
San Angelo, TX 76904
Registry dates
- Enumerated
- 2009-03-22
- Last updated
- 2016-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.