Individual
DR. BRADEN CONRAD MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
382 STATE ST, ELLSWORTH, ME 04605-3330
(207) 374-5538
Mailing address
382 STATE ST, ELLSWORTH, ME 04605-3330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN5352
ME
1223G0001X
General Practice Dentistry
Primary
DS043282
PA
Other
Enumeration date
08/04/2021
Last updated
07/16/2026
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