Grace Montag, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7725 Issued in NE

Practice address

513 S 13TH St
Norfolk, NE 68701-4966

Phone

(402) 379-2775

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Grace E Dickerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Dental Associates of Nebraska, P.C.

  • General Practice Dentistry
  • Norfolk, NE
  • NPI 1922274687
  NPD (past)
• Community Health Center of Central Wyoming, Inc.

  • Federally Qualified Health Center (FQHC)
  • Casper, WY
  • NPI 1447480561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1063081115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 S 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014966",
            "telephone_number": "402-379-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 S 13TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014966",
            "telephone_number": "402-379-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAG",
        "first_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "DICKERMAN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexis Molacek
• Kylie Jo Molacek, OTD, OTR/L
• Alyssa Monnier
• Angel Monroe
• Tyaira Monroe
• Idalmis Montano Perez
• Barbara Moore
• Erin Moore
• Jennifer Moore, RN
• Matison Moore

• General Practice Dentistry in Norfolk, NE
• Providers in Norfolk, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.