Dr. James Edward Montgomery , DDS
Dentist - General Practice • Port Orange, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Montgomery has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. James Montgomery, DDS was a registered Dentist - General Practice practicing in Port Orange, FL. Throughout an active medical career spanning 11 years, Dr. Montgomery provided care at the practice location at 3777 S RIDGEWOOD AVE until profile deactivation on 2019-12-23.
Practice Location & Contact Primary Location
3777 S Ridgewood Ave
Port Orange, FL 321293528
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Port Orange, FL
Practicing in Port Orange, FL (7473 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 23, 2019
NPI status registered as active in NPPES database
Registered at 3777 S RIDGEWOOD AVE, PORT ORANGE, FL 321293528 (Tel: 3867601200)
Registered at 2420 DODGE DR, DAYTONA BEACH, FL 321185331 (Tel: 3862540888)
Recorded as JAMES MONTGOMERY, DDS
Dentist (License #DN11321 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2420 Dodge Dr
Daytona Beach, FL 321185331
Phone: 3862540888
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