Dr. Mark R Montgomery , DDS
Dentist • Kokomo, IN
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. Mark Montgomery has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mark Montgomery, DDS was a registered Dentist practicing in Kokomo, IN. Throughout an active medical career spanning 17 years, Dr. Montgomery provided care at the practice location at 5129 CLINTON DR until profile deactivation on 2024-07-10.
Practice Location & Contact Primary Location
5129 Clinton Dr
Kokomo, IN 46902
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Kokomo, IN
Practicing in Kokomo, IN (1682 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on July 10, 2024
Registered at 130 W JACKSON ST, CICERO, IN 46034 (Tel: 3179843000)
NPI status registered as active in NPPES database
Registered at 5129 CLINTON DR, KOKOMO, IN 46902 (Tel: 7654508759)
Registered at PO BOX 375, CICERO, IN 460340375 (Tel: 3179843000)
Recorded as MARK MONTGOMERY, DDS
Dentist (License #12008126A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 375
Cicero, IN 460340375
Phone: 3179843000
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