Individual
DR. JEREMY DAVID MONTROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
54 W 21ST ST RM 308, NEW YORK, NY 10010-7370
(332) 242-7332
Mailing address
54 W 21ST ST RM 308, NEW YORK, NY 10010-7370
(332) 242-7332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060852
NY
122300000X
Dentist
D9472
OR
1223G0001X
General Practice Dentistry
Primary
DEN00203466
CO
Other
Enumeration date
08/04/2010
Last updated
04/17/2026
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