# DR. DAVID RUSSELL MONTGOMERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528366473
- **Gender:** Man
- **Credential:** D.D.S., M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6882 | NE | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 060336 | NY | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901020622 | MI | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN24368 | FL | Yes |

## Other

- **Enumeration date:** 03/02/2011
- **Last updated:** 05/13/2020