Montgomery, John
Montgomery, John is an sole proprietor health care provider with primary practice located at 18924 Freeport Drive Suite A, Montgomery TX 77356. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Montgomery, John can be contacted via phone (936) 582-4396.Contact Information
Primary practice address
18924 Freeport Drive Suite A
Montgomery TX 77356
Phone: (936) 582-4396
Fax: (936) 582-4311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 13113 | Texas |
Profile Details
| NPI number | 1255441002 |
|---|---|
| LBN Legal business name | Montgomery, John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255441002 | NPPES |
| South Dakota | Other | 84D226 | BLUE CROSS BLUE SHIELD OF |
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