Individual
DR. MARSHALL BRADY MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
850 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 999-5457
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 984-7031
(508) 984-7034
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN03099
RI
122300000X
Dentist
Primary
DN1855260
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087629A
—
MA
Enumeration date
06/16/2009
Last updated
09/28/2011
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