Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679674931 Individual Practitioner Female Practitioner

Dr. Melanie Rose Watson-Montgomery , DDS

Dentist • Hazel Crest, IL

Professional Overview & Biography Verified Profile Summary

Dr. Melanie Watson-Montgomery, DDS is a registered healthcare professional specializing in Dentist in Hazel Crest, IL. Practice services are available at 3330 W 177TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3330 W 177th St
Unit 1-G

Hazel Crest, IL 604292186

Telephone 7087987400
Fax 7087987503
Associated Practice Facility / Clinic
🏢 Geri-Med Service Ltd Facility NPI 1093775546

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hazel Crest, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Hazel Crest, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-05-04
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 432080709

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
432080709 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
Dr. Kathleen Oshea-Wilk , MD

Internal Medicine - Geriatric Medicine

NPI 1013923689

Doctor of Medicine (M.D.)

Mark Ambrose , PA-C

Physician Assistant

NPI 1043424740

Physician Assistant (Certified)

Vienne Reid , LCSW

Social Worker - Clinical

NPI 1073916888

Licensed Clinical Social Worker

NPI 1114982477

Doctor of Medicine (M.D.)

Mia Garmon

Registered Nurse

NPI 1134546906
Susan Zeitner , LCSW

Social Worker - Clinical

NPI 1174861736

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2021

Dentist (License #432080709 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3330 W 177TH ST, UNIT 1-G, HAZEL CREST, IL 604292186 (Tel: 7087987400)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3330 W 177TH ST, UNIT 1-G, HAZEL CREST, IL 604292186 (Tel: 7087987400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MELANIE WATSON-MONTGOMERY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration September 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679674931
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: May 04, 2021
Sole Proprietor: No

Mailing Address

3330 W 177th St, Unit 1-G

Hazel Crest, IL 604292186

Phone: 7087987400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.