Individual
MR. ROBERT A MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 THIRD ST, ELKINS, WV 26241
(304) 636-1100
(304) 636-0066
Mailing address
108 THIRD ST, ELKINS, WV 26241
(304) 636-1100
(304) 636-0066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV3367
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134574000
—
WV
Enumeration date
08/16/2006
Last updated
07/08/2007
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