Dr. Charles R Montgomery Jr., DDS
Dentist, General Practice in Jackson, New Jersey
1720148745- Practice location
- 302 Mackenzie Dr, Jackson, NJ 08527-1184
- Phone
- 732-901-9036
- Fax
- —
- Last updated
- September 17, 2012
Charles Robert Montgomery is a Dentist, General Practice based in Jackson, NJ. Charles Robert Montgomery practices in Jackson, NJ and has the professional credentials of DDS. The NPI Number for Charles Robert Montgomery is 1720148745 and holds a License No. di01679400 (NJ). The current practice location address for Charles Robert Montgomery is 302 Mackenzie Dr, Jackson, NJ 08527-1184 and can be reached out via phone at 732-901-9036.
Provider Profile Details
- NPI Number
- 1720148745
- Provider Name
- Charles Robert Montgomery
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 302 Mackenzie Dr, Jackson, NJ 08527-1184
- Phone Number
- 732-901-9036
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 11, 2006
- Last Update Date
- September 17, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 302 Mackenzie Dr
Jackson, NJ 08527-1184 - City
- Jackson
- State
- New Jersey
- Zip
- 08527-1184
- Phone Number
- 732-901-9036
Provider Business Mailing Address Details
- Address
- 302 Mackenzie Dr
Jackson, NJ 08527-1184 - City
- Jackson
- State
- NJ
- Zip
- 08527-1184
- Phone Number
- 732-901-9036
License Information
- License Number
- di01679400
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Charles R Montgomery Jr., DDS?
The NPI number of Dr. Charles R Montgomery Jr., DDS is 1720148745. It was assigned on December 11, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles R Montgomery Jr., DDS?
Dr. Charles R Montgomery Jr., DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number di01679400.
Where does Dr. Charles R Montgomery Jr., DDS practice?
The practice location is 302 Mackenzie Dr, Jackson, NJ 08527-1184. The office can be reached at 732-901-9036 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720148745 directly on the NPPES registry website.