DR. MICHAEL CLINTON MONTGOMERY (NPI# 1477633196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477633196 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL CLINTON MONTGOMERY |
| Credential | D.M.D.,P.C. |
| Practice Address |
1040 Barclay Dr Madison GA 30650-4621 |
| Practice Telephone | 7063421242 |
| Mailing Telephone | 7063421242 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DNO10347 | GA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184018814 | Michael Montgomery | Specialist/Technologist | 621 Southgate Rd, Carroll, IA 51401-3277 | 2015-03-19 |
| 1063660041 | Michael O'neill Montgomery | Internal Medicine | 249 Forrest Rd, Yardley, PA 19067-3322 | 2008-09-03 |
| 1700965134 | Michael Todd Montgomery | Dentist | 7551 Callaghan Rd, #210, San Antonio, TX 78229-2860 | 2006-11-05 |
| 1366553166 | Michael T Montgomery | Family Medicine | 469 Emily Dr, Clarksburg, WV 26301-5512 | 2006-08-31 |
| 1396858759 | Michael Montgomery | Pharmacist | 930 S. Main St, Nicholasville, KY 40356-2152 | 2006-08-17 |
| 1689643116 | Michael Wayne Montgomery | Specialist/Technologist | 102 Crystal Springs Dr, Bardstown, KY 40004-8203 | 2006-03-16 |
| 1124002969 | Michael R Montgomery | Optometrist | 279 E Elm St, Lebanon, MO 65536-3610 | 2005-12-05 |
| 1235126533 | Michael Christopher Montgomery | Dentist | 8055 W Manchester Ave, Suite 500, Playa Del Rey, CA 90293-7960 | 2005-10-02 |
| 1053780007 | Michael Albert Montgomery | Registered Nurse | 319 E Water St, Syracuse, NY 13202-1123 | 2015-09-21 |
| 1699110361 | Michael Boone Montgomery | Student in an Organized Health Care Education/Training Program | 800 Lakeshore Dr, Birmingham, AL 35229-0001 | 2013-05-07 |
| Street Address |
1040 BARCLAY DR |
| City | MADISON |
| State | GA |
| Zip Code | 30650-4621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568746097 | Madisondentalgroupllc | Dentist | 1040 Barclay Dr, Madison, GA 30650-4621 | 2011-10-03 |
| 1508911793 | Michael C. Montgomery D.m.d.,p.c. | Dentist | 1040 Barclay Dr, Madison, GA 30650-4621 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487219192 | Morgan County, Georgia Hospital Authority | Pharmacy | 1740 Lions Club Road, Madison, GA 30650 | 2019-05-08 |
| 1215420690 | Advantage Behavioral Health Systems | Clinic/Center | 1801 Prospect Rd., Madison, GA 30650 | 2018-06-11 |
| 1942791470 | Kristin Barnett | Social Worker | 256 W Washingtonst, Madison, GA 30650 | 2018-05-21 |
| 1710474275 | M S Publishing and Consulting LLC | Counselor | 256 W. Washiington Street, Madison, GA 30650 | 2018-04-19 |
| 1558818013 | Whitney Rena Walker | Technician | 778 Cooks Hill Rd, Madison, GA 30650 | 2016-09-01 |
| 1023366739 | Xcalibur | Durable Medical Equipment & Medical Supplies | 1071 Hanover Dr, Madison, GA 30650 | 2012-08-28 |
| 1629392170 | Tammy W Rustin | Pharmacist | 1441 Eatonton Rd, Ingles Pharmacy #444, Madison, GA 30650 | 2010-03-25 |
| 1861534463 | John Frederick Mcnees II | Optometrist | 173 So Main St, Madison, GA 30650 | 2007-02-12 |
| 1780746750 | Jacqueline Lamar Gruszynski | Speech-Language Pathologist | 1760 Westminister Way, Madison, GA 30650 | 2006-12-15 |
| 1003917535 | Marilyn S Snow | Counselor | 256 W Washington St, Madison, GA 30650 | 2006-09-26 |
| Find all providers in zip 30650 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496007 | Elizabeth R Friend | Dentist | 440 Science Dr Ste 100, Madison, WI 53711-1064 | 2020-08-03 |
| 1841817657 | Kimberly Nicole Lee | Dentist | 105 Broadmoor Dr, Madison, MS 39110-6651 | 2020-06-26 |
| 1831713213 | Scarlett La'ree Johnson | Dentist | 155 Millhouse Dr, Madison, MS 39110-6964 | 2020-06-02 |
| 1447899653 | Say Ahh Family and Cosmetic Dentistry LLC | Dentist | 7559 Highway 72 W Ste 105a105b, Madison, AL 35758-8811 | 2020-01-06 |
| 1982245395 | Treehouse Children's Dentistry, LLC | Dentist | 7559 Highway 72 W Ste 108, Madison, AL 35758-8816 | 2019-10-07 |
| 1205480423 | Abtin Iranmanesh | Dentist | 7564 Highway 72 W Ste C, Madison, AL 35758-9437 | 2019-07-25 |
| 1396238226 | Nathalie M Gomez-leon | Dentist | 7278 Highway 72 W Ste A, Madison, AL 35758-9551 | 2018-06-14 |
| 1164915518 | Lauren Faustmann | Dentist | 20 Hughes Rd # 104, Madison, AL 35758-2237 | 2018-06-11 |
| 1669963518 | Fahad Al-fadhli | Dentist | 109 Sycamore Rdg, Madison, MS 39110-7333 | 2018-05-27 |
| 1346752441 | Pignataro Family Dentistry, PC | Dentist | 7950 Highway 72 W Ste F, Madison, AL 35758-6420 | 2017-10-30 |
| Find all providers in MADISON | ||||
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| 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.