Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edwin Gonzalez Montoya, OMFS

Individual provider Dentist · NPI 1396255097

Dr. Edwin Gonzalez Montoya, OMFS is a Dentist in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
Specialties on file
3

Practice location Address checks out

6585 E State St
Rockford, IL 61108-2542
Phone: (787) 587-9675
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 021002849 (IL)
Dentist Taxonomy 122300000X · Licence 019031410 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019031410 (IL)

Record details

NPI number1396255097
Entity typeIndividual (Type 1)
GenderMale
Credentials OMFS
Sole proprietorYes
NPI enumeratedOctober 7, 2017
Last updated in NPPESDecember 7, 2017

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