DR. TIMOTHY J. MONTGOMERY (NPI# 1386798049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386798049 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J. MONTGOMERY |
| Credential | DDS |
| Practice Address |
16570 W 78th St Eden Prairie MN 55346-4308 |
| Mailing Address |
14605 Glazier Ave Apple Valley MN 55124-7545 |
| Practice Telephone | 9529378733 |
| Mailing Telephone | 9524321103 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8466 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770837437 | Timothy David Montgomery | Counselor | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2012-11-02 |
| Street Address |
16570 W 78TH ST |
| City | EDEN PRAIRIE |
| State | MN |
| Zip Code | 55346-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790809267 | Ocg Ltd | Dentist | 16570 W 78th St, Eden Prairie, MN 55346-4308 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608874 | Maria Phelps | Behavioral Analyst | 6200 Bury Dr, Eden Prairie, MN 55346 | 2020-01-14 |
| 1225447113 | Abby Johnson | Specialist/Technologist | 16550 W 78th Street, Suite B, Eden Prairie, MN 55346 | 2014-08-05 |
| 1891891438 | Celleration Inc | Durable Medical Equipment & Medical Supplies | 6321 Bury Drive Suite 15, Celleration, Inc, Eden Prairie, MN 55346 | 2006-09-14 |
| 1407863012 | Matthew Reece Meyer | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1902859887 | Minnesota Medical Scanning Corporation | Radiology | 16570 West 78th Street, Ste 1, Eden Prairie, MN 55346 | 2006-05-19 |
| 1821098369 | Linda Eld | Nurse Practitioner | 16490 W 78th St, Eden Prairie, MN 55346 | 2005-07-27 |
| 1649761735 | Kevin Rodda | Optometrist | 16550 W 78th St Ste A, Eden Prairie, MN 55346 | 2018-05-23 |
| 1285641803 | Anthony August Pesola | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1508873118 | Osberg Pesola Scamp Kaivo Dds Pa | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| 1831106442 | James Charles Osberg | Dentist | 16518 West 78th Street, Eden Prairie, MN 55346 | 2006-08-03 |
| Find all providers in zip 55346 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969636 | Eden Prairie Orthodontic Assoc | Dentist | 8200 Commonwealth Dr # 100, Eden Prairie, MN 55344-5365 | 2020-07-14 |
| 1588156525 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 18315 Cascade Dr Ste 110, Eden Prairie, MN 55347 | 2018-06-05 |
| 1780789743 | Mark F Holmberg | Dentist | 11800 Singletree Ln Ste 406, Eden Prairie, MN 55344-7900 | 2006-09-14 |
| 1083635635 | Michael H Hoxie | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1073727293 | Florena LLC | Dentist | 8785 Columbine Rd, Eden Prairie, MN 55344-6695 | 2007-05-09 |
| 1790809267 | Ocg Ltd | Dentist | 16570 W 78th St, Eden Prairie, MN 55346-4308 | 2007-03-19 |
| 1316097116 | Hultgren & Hoxie Orthodontics | Dentist | 7825 Terrey Pine Ct, Suite 101, Eden Prairie, MN 55347-1126 | 2007-01-12 |
| 1225133119 | Lilah Suzan Ekim | Dentist | 11800 Singletree Ln Ste 406, Eden Prairie, MN 55344-7900 | 2006-09-14 |
| 1073534632 | Bruce W Hultgren | Dentist | 7825 Terrey Pine Court, Suite 101, Eden Prairie, MN 55347 | 2006-07-21 |
| 1215981246 | Jesse N Veil | Dentist | 11800 Singletree Ln, #200, Eden Prairie, MN 55344-5328 | 2006-05-22 |
| Find all providers in EDEN PRAIRIE | ||||
| City | EDEN PRAIRIE |
| Zip Code | 55346 |
Please comment or provide details below to improve the information on DR. TIMOTHY J. MONTGOMERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.