Individual
DR. MICHAEL CLINTON MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.,P.C.
Contact information
Practice address
1040 BARCLAY DR, MADISON, GA 30650-4621
(706) 342-1242
Mailing address
1040 BARCLAY DR, MADISON, GA 30650-4621
(706) 342-1242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO10347
GA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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