# CHARLES E. MONTAGUE,III,D.M.D.,P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821361940
- **Authorized official:** DR. CHARLES ERNEST MONTAGUE III D.M.D. (SOLE OFFICER)
- **Authorized official phone:** (606) 329-0919

## Contact information

- **Practice address:** 1330 CENTRAL AVE, ASHLAND, KY 41101-7550
- **Practice address phone:** (606) 329-0919
- **Mailing address:** 1330 CENTRAL AVE, ASHLAND, KY 41101-7550
- **Mailing address phone:** (606) 329-0919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5224 | KY | Yes |

## Other

- **Enumeration date:** 02/21/2012
- **Last updated:** 02/21/2012