Melanie Rose Watson-montgomery, DDS | |
3330 W 177th St, Unit 1-g, Hazel Crest, IL 60429-2186 | |
(708) 798-7400 | |
(708) 798-7503 |
Full Name | Melanie Rose Watson-montgomery |
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Gender | Female |
Speciality | Dentist |
Location | 3330 W 177th St, Hazel Crest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679674931 | NPI | - | NPPES |
432080709 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 432080709 (Illinois) | Primary |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
---|---|
Melanie Rose Watson-montgomery, DDS 3330 W 177th St, Unit 1-g, Hazel Crest, IL 60429-2186 Ph: (708) 798-7400 | Melanie Rose Watson-montgomery, DDS 3330 W 177th St, Unit 1-g, Hazel Crest, IL 60429-2186 Ph: (708) 798-7400 |
Dr. Bellur Chandrashekar, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 17577 Kedzie Ave, Suite 106, Hazel Crest, IL 60429 Phone: 708-335-3366 | |
Dr. Randy N Dixon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3400b W 183rd St # B, Hazel Crest, IL 60429 Phone: 708-957-0690 Fax: 708-957-3581 | |
Leroy Nmi Weathersby Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 17508 E Carriageway Drive, Suite A, Hazel Crest, IL 60429 Phone: 708-206-1181 Fax: 708-206-1060 | |
Dr. Allison E Lindsey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3400b W 183rd St # B, Hazel Crest, IL 60429 Phone: 708-957-0690 Fax: 708-957-3581 | |
Dr. Joyce Ann Terry, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1921 West 170th St, Hazel Crest, IL 60429 Phone: 708-335-4955 Fax: 708-335-4223 |