Organization
PATRICK R. MONTGOMERY, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ROBERT MONTGOMER D.D.S. (DR.)
(580) 536-3313
Entity
Organization
Contact information
Practice address
725 NW 67TH ST, LAWTON, OK 73505-4202
(580) 536-3313
(580) 536-2011
Mailing address
725 NW 67TH ST, LAWTON, OK 73505-4202
(580) 536-3313
(580) 536-2011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4422
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
692289
UNITED CONCORDIA ID #
OK
Enumeration date
12/06/2006
Last updated
03/04/2008
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