Individual
JESSICA L MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
118 E GIRARD AVE, CEDARTOWN, GA 30125-2712
(678) 246-5174
(678) 901-3336
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DNO15220
GA
1223G0001X
General Practice Dentistry
Primary
DN015220
GA
Other
Enumeration date
06/29/2016
Last updated
02/08/2018
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