Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720148745 Individual Practitioner Male Practitioner

Dr. Charles Robert Montgomery , DDS

Dentist - General Practice • Jackson, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Charles Montgomery, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jackson, NJ. Practice services are available at 302 MACKENZIE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

302 Mackenzie Dr

Jackson, NJ 085271184

Telephone 7329019036

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jackson, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Jackson, NJ (4316 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NJ DI01679400

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1263706 (NJ)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 17, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2012

Registered at 302 MACKENZIE DR, JACKSON, NJ 085271184 (Tel: 7329019036)

📍
Updated Business Mailing Address September 17, 2012

Registered at 302 MACKENZIE DR, JACKSON, NJ 085271184 (Tel: 7329019036)

👤
Provider Name / Credentials Updated September 17, 2012

Recorded as CHARLES MONTGOMERY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2012

Dentist (License #DI01679400 in NJ)

🟢
Initial NPI Registration & Enumeration December 11, 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: 1720148745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2006
Last Update: September 17, 2012
Sole Proprietor: Yes

Mailing Address

302 Mackenzie Dr

Jackson, NJ 085271184

Phone: 7329019036

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.