Individual
DR. JASON LEE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1524 INDEPENDENCE PKWY, SUITE A1/B, PLANO, TX 75075-6406
(972) 398-1996
(972) 398-8475
Mailing address
2812 TEAKWOOD LN, PLANO, TX 75075-1936
(214) 725-6129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19746
TX
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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