Monte' Erell Montgomery, DDS

General Practice Dentistry · Sutherlin, OR

Individual Active NPI

NPI number 1164572665

Practice location

115 N. State St.
Sutherlin, OR 97479-0719
Phone
(541) 459-4612
Fax
(541) 459-4911

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NPI record

NPI
1164572665
Entity type
Individual (Type 1)
Enumeration date
January 10, 2007
Last updated
February 9, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D6919 OR

Mailing address

103 Clover Leaf Loop
115 N. State St.
Sutherlin, OR 97479-8540
Phone
(541) 459-4612
Fax
(541) 459-4911

About Dr. Montgomery

Monte' Erell Montgomery, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 115 N. State St., Sutherlin, OR 97479-0719. The NPI number 1164572665 was assigned on January 10, 2007 and the record was last updated on February 9, 2016.

Dr. Montgomery lists a license in the registry: #D6919 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Monte' Erell Montgomery, DDS?

The NPI number is 1164572665.

What is the phone number of Dr. Montgomery?

The phone number listed for the practice location is (541) 459-4612.

Where is Dr. Montgomery located?

115 N. State St., Sutherlin, OR 97479-0719.

What is the taxonomy code for Dr. Montgomery?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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