Marc Montgomery DDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MARC MONTGOMERY DDS PA

Practice address

8380 City Centre Dr Ste 130
Woodbury, MN 55125-5304

Phone

(651) 738-1880

NPI assigned

Oct 29, 2025

Organization subpart

No

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

Authorized official

Name

Marc MontgomeryNPI 1588730634

Title

Owner

Phone

(651) 738-1880

Specialties & licenses 1

Addresses

Other names 1

• Montgomery Dental Care Doing business as

Tax ID family

Marc Montgomery DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Marc Montgomery DDS PA

  • General Practice Dentistry
  • Woodbury, MN
  • NPI 1417825563
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Louis Montgomery, DDS

  • General Practice Dentistry
  • Woodbury, MN
  • NPI 1588730634
  NPD (past) Authorized official

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1194693259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 CITY CENTRE DR STE 130",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 CITY CENTRE DR STE 130",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551255304",
            "telephone_number": "651-738-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC MONTGOMERY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-738-1880"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia J Manser, CRNA
• Kathryn Manzel
• Kevin Thomas Manzel, D.O.
• Samiro Ali Mao
• Maplewood Oral and Maxillofacial Surgery, P.a.
• Marc Montgomery DDS PA
• Marc Montgomery Dental GPS PLLC
• Anthony Frank Marchio Jr., PA-C
• Nancy Beth Marek, PT PHYSICAL THERAPIS
• Shari Marik-Roach, LICSW

• Dentist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.