Dr James Montgomery Jr, DMD is a
Dentist - Oral And Maxillofacial Surgery based in Bonneau, South Carolina. Dr James Montgomery Jr is licensed to practice in South Carolina (license number 3180) and his current practice location is
111 Shelly St, Bonneau, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 825-4131.
NPI number for Dr James Montgomery Jr is 1790759967 and his current mailing address is Po Box 280, Bonneau, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790759967.
Healthcare Provider's Profile
| Full Name | Dr James Montgomery Jr |
|---|
| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 111 Shelly St, Bonneau, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790759967
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr James Montgomery Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790759967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3180 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Montgomery Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James Montgomery Jr, DMD
Po Box 280,
Bonneau, SC 29431-0280
Ph: (843) 825-4131 | Dr James Montgomery Jr, DMD
111 Shelly St,
Bonneau, SC 29431-3629
Ph: (843) 825-4131 |
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