Marlin M Montgomery in Brookings - Dentist

Marlin M Montgomery - NPI 1649352113

Marlin M Montgomery is a Dentist in Brookings, Oregon. Marlin M Montgomery practices all healthcare services and medical treatments related to Dentist. The NPI Number for Marlin M Montgomery is 1649352113. The last update date is 2007-07-08.

Marlin M Montgomery's current location address is Po Box 8310, Brookings, Oregon. You can contact this provider via phone number 5414695371 and fax number 5414120177. The mailing address for Marlin M Montgomery is Po Box 8310, Brookings, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Marlin M Montgomery
Address Po Box 8310, Brookings, Oregon
Phone Number 5414695371
Fax Number 5414120177
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1649352113
Provider Enumeration Date 2006-10-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 8310
City Brookings
State Oregon (OR)
Post Code 974150390
Phone Number 5414695371
Fax Number 5414120177

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 5448
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6536 OR --

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FAQs about Marlin M Montgomery

What is the unique 10-digit identification code issued to Marlin M Montgomery by the Centers for Medicare & Medicaid Services?

The Marlin M Montgomery has been assigned the NPI (National Provider Identifier) 1649352113 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Marlin M Montgomery located?

The Marlin M Montgomery is located at Po Box 8310, Brookings, OR 974150390.

What is Marlin M Montgomery's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Marlin M Montgomery is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When did the Marlin M Montgomery receive its 1649352113?

The Marlin M Montgomery was issued its 1649352113 on 2006-10-20, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Marlin M Montgomery last refreshed?

The information related to the Marlin M Montgomery, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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