Individual
DR. JEFFREY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
116 RAVINE ST STE 100-201, GATE CITY, VA 24251-3311
(276) 386-6162
(276) 386-2725
Mailing address
116 RAVINE ST STE 101, GATE CITY, VA 24251-3312
(276) 386-6162
(276) 386-2725
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411228
VA
1223G0001X
General Practice Dentistry
0401411228
VA
Other
Enumeration date
12/12/2006
Last updated
08/29/2022
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