Charles Robert Montgomery Jr., DDS

General Practice Dentistry · Jackson, NJ

Individual Active NPI

NPI number 1720148745

Practice location

302 Mackenzie Dr
Jackson, NJ 08527-1184
Phone
(732) 901-9036

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NPI record

NPI
1720148745
Entity type
Individual (Type 1)
Enumeration date
December 11, 2006
Last updated
September 17, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DI01679400 NJ

About Dr. Montgomery

Charles Robert Montgomery Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 302 Mackenzie Dr, Jackson, NJ 08527-1184. The NPI number 1720148745 was assigned on December 11, 2006 and the record was last updated on September 17, 2012.

Dr. Montgomery lists a license in the registry: #DI01679400 (NJ) 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 Charles Robert Montgomery Jr., DDS?

The NPI number is 1720148745.

What is the phone number of Dr. Montgomery?

The phone number listed for the practice location is (732) 901-9036.

Where is Dr. Montgomery located?

302 Mackenzie Dr, Jackson, NJ 08527-1184.

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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