Michael C. Montgomery D.M.D.,P.C.

LBN: Michael C. Montgomery D.M.D.,P.C.
Michael C. Montgomery D.M.D.,P.C. is an health care organization with primary practice located at 1040 Barclay Dr , Madison GA 30650-4621. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Michael C. Montgomery D.M.D.,P.C. can be contacted via phone (706) 342-1242, or through Montgomer, Michael Clinton via phone (706) 342-1242.

Contact Information

Primary practice address
1040 Barclay Dr Madison GA 30650-4621
Phone: (706) 342-1242
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Montgomer, Michael Clinton Doctor of Dental Medicine (DMD)
Phone: (706) 342-1242

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN010347 Georgia

Profile Details

NPI number 1508911793
LBN Legal business name Michael C. Montgomery D.M.D.,P.C.
DBA Doing business as
Authorized official Montgomer, Michael Clinton Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508911793 NPPES
Georgia MEDICAID 00351843A
Georgia MEDICAID 100805
Georgia MEDICAID 9183572

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