Montgomery, Tyrus Gerard

Montgomery, Tyrus Gerard is an sole proprietor health care provider with primary practice located at 12300 Kemmerton Ln , Bowie MD 20715-2721. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Montgomery, Tyrus Gerard can be contacted via phone (301) 262-1888.

Contact Information

Primary practice address
12300 Kemmerton Ln Bowie MD 20715-2721
Fax: (301) 262-1899
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11713 Maryland

Profile Details

NPI number 1871714766
LBN Legal business name Montgomery, Tyrus Gerard
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Mar 18th, 2020 - about 5 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.

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