Andrea M Montgomery in Lawton - General Practice

Andrea M Montgomery - NPI 1508860933

Andrea M Montgomery is a General Practice in Lawton, Oklahoma. Andrea M Montgomery practices all healthcare services and medical treatments related to General Practice. The NPI Number for Andrea M Montgomery is 1508860933. The last update date is 2012-09-17.

Andrea M Montgomery's current location address is 725 Nw 67th St, Lawton, Oklahoma. You can contact this provider via phone number 5805363313 and fax number 5805362011. The mailing address for Andrea M Montgomery is 725 Nw 67th St, Lawton, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrea M Montgomery
Address 725 Nw 67th St, Lawton, Oklahoma
Phone Number 5805363313
Fax Number 5805362011
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1508860933
Provider Enumeration Date 2005-06-13
Last Updated Date 2012-09-17

Provider Mailing Address Detail

Address 725 Nw 67th St
City Lawton
State Oklahoma (OK)
Post Code 7350542020
Phone Number 5805363313
Fax Number 5805362011

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5721
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200035620A OK --

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FAQs about Andrea M Montgomery

What is the Andrea M Montgomery's unique identification number?

The Andrea M Montgomery has been assigned the NPI (National Provider Identifier) Number 1508860933 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Andrea M Montgomery's facilities are geographically located?

The facilities of Andrea M Montgomery are physically situated at the following location: 725 Nw 67Th St, Lawton, OK, 7350542020.

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

The Andrea M Montgomery's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

On what date did Andrea M Montgomery receive its 1508860933 assignment from the Centers for Medicare & Medicaid Services?

The Andrea M Montgomery was assigned its 1508860933 on 2005-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Andrea M Montgomery, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Andrea M Montgomery, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-09-17.

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