DR. JAMES MONTGOMERY JR. (NPI# 1790759967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790759967 |
| Entity Type | Individual |
| Full Name | DR. JAMES MONTGOMERY JR. |
| Credential | D.M.D. |
| Practice Address |
111 Shelly St Bonneau SC 29431-3629 |
| Mailing Address |
Po Box 280 Bonneau SC 29431-0280 |
| Practice Telephone | 8438254131 |
| Practice Fax Number | 8438254136 |
| Mailing Telephone | 8438254131 |
| Mailing Fax Number | 8438254136 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
3180 | SC | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029880 | James Eugene Montgomery | Counselor | 910 W State St Apt 1, Lehi, UT 84043-2046 | 2019-08-22 |
| 1821581869 | James R Montgomery Iv | Dietitian, Registered | 1201 Springwood Ave, Asbury Park, NJ 07712-6752 | 2018-06-13 |
| 1063679132 | James D. Montgomery | Massage Therapist | 5153 W 120th Ave, Broomfield, CO 80020-5608 | 2008-05-16 |
| 1235234683 | James Cleveland Montgomery | Pediatrics | 8537 Essex Court Cv, Cordova, TN 38016-9235 | 2006-09-13 |
| 1225071806 | James Claffy Montgomery Jr. | Obstetrics & Gynecology | 4518 Richmond Hill Dr, Murrells Inlet, SC 29576-6818 | 2006-06-13 |
| 1497747919 | James Adam Montgomery | Anesthesiology | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2005-08-19 |
| 1447889597 | James Hamilton Montgomery | Student in an Organized Health Care Education/Training Program | 920 Madison Ave Ste 447, Memphis, TN 38103-3438 | 2020-04-01 |
| 1003462144 | James Montgomery | Physical Therapist | 200 Trade St, Tarboro, NC 27886-5055 | 2019-08-14 |
| 1760866966 | James Montgomery | Pharmacist | 29800 Bainbridge Rd, Solon, OH 44139-2202 | 2015-07-17 |
| 1861805913 | James Montgomery | Radiology | 4005 24th St, Lubbock, TX 79410-1815 | 2014-06-06 |
| Street Address |
111 SHELLY ST |
| City | BONNEAU |
| State | SC |
| Zip Code | 29431-3629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689882607 | Donald Lawrence Marshall | Dentist | 111 Shelly St, Bonneau, SC 29431-3629 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659311165 | Palmetto Primary Care Physicians | Nutritionist | 1401 Main St., Bonneau, SC 29431 | 2006-06-07 |
| 1558486845 | Berkeley Oral and Maxillofacial Surgery Pa | Dentist | 111 Shelly St., Bonneau, SC 29431-0280 | 2007-03-19 |
| 1962627570 | Chad Winn | Durable Medical Equipment & Medical Supplies | 1484 Main St, Bonneau, SC 29431-5011 | 2007-04-17 |
| 1366646861 | Medical Supplies & Equipment Usa, LLC | Durable Medical Equipment & Medical Supplies | 1484 Main St, Bonneau, SC 29431-5011 | 2007-06-11 |
| 1619934346 | David Paul Rodgers | Family Medicine | 1401 Main St, Bonneau, SC 29431-5013 | 2006-04-27 |
| 1255722708 | Allyson P Brown | Nurse Practitioner | 1401 Main St, Bonneau, SC 29431-5013 | 2015-02-05 |
| 1528292794 | Tabatha Lynn Adams | Nurse Practitioner | 1401 Main St, Bonneau, SC 29431-5013 | 2009-05-04 |
| 1912931007 | Beth S Price | Family Medicine | 1401 Main St, Bonneau, SC 29431-5013 | 2006-07-11 |
| 1144790361 | Hope Medical Transport and Training, LLC | Ambulance | 308 Lake Moultrie Dr, Bonneau, SC 29431-8540 | 2018-11-30 |
| 1538640610 | Lisa Miklosi | Behavior Technician | 408 Bonneau St, Bonneau, SC 29431-8625 | 2018-08-27 |
| Find all providers in zip 29431 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558486845 | Berkeley Oral and Maxillofacial Surgery Pa | Dentist | 111 Shelly St., Bonneau, SC 29431-0280 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963508 | Clements Ferry Dentistry LLC | Dentist | 1951 Clements Ferry Rd Ste 201, Charleston, SC 29492-8325 | 2020-05-11 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1164990164 | Camden Oral Surgery & Implant Center | Dentist | 207 E. Dekalb St., Camden, SC 29020 | 2018-11-07 |
| 1417309956 | Marian Mitchell Oliver Corp. | Dentist | 939 Jc Calhoun Drive, Orangeburg, SC 29115 | 2016-07-08 |
| 1205290764 | Sloan Rehder | Dentist | 2051 Sam Rittenberg Blvd, Charleston, SC 29407-4683 | 2016-04-11 |
| 1689039869 | Faircloth and Bakeman Partnership | Dentist | 150 Crepe Myrtle Dr, Aiken, SC 29803-7543 | 2015-12-15 |
| 1679954705 | Coafs Lab | Dentist | 125 Wappoo Creek Dr Ste C1, Charleston, SC 29412-2161 | 2015-06-15 |
| 1952798357 | Now Or Never 2011, LLC | Dentist | 2270 Ashley Crossing Dr Ste 175, Charleston, SC 29414-5863 | 2015-04-23 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1437557121 | Sumter Oral & Maxillofacial Surgery | Dentist | 624 Front St, Georgetown, SC 29440-3624 | 2014-12-11 |
| Find all providers with the same taxonomy | ||||
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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.