Organization Active NPI

Ronald Montgomery Dental Group, PC

Doing business as Gentle Dental Moore

  • General Practice Dentistry
  • Moore, OK
National Provider Identifier
1881636561
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RONALD MONTGOMERY DENTAL GROUP, PC
Doing business as
Gentle Dental Moore
Practice address
1740 N Service Rd
Moore, OK 73160-3307
Phone
(405) 794-7200
Fax
(405) 794-2266
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Ronald K Montgomery, DDS
Title
PC Owner
Phone
(405) 698-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1740 N Service Rd
Moore, OK 73160-3307

Mailing address

PO Box 872710
Vancouver, WA 98687-2710
Phone (360) 869-7645

Other names 1

  • Gentle Dental Moore Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Dental Courtyard Plaza8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1740 N Broadway St
Moore, OK 73160
Phone (405) 294-7884

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1881636561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872710",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986872710",
            "telephone_number": "360-869-7645",
            "fax_number": "877-725-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 N SERVICE RD",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603307",
            "telephone_number": "405-794-7200",
            "fax_number": "405-794-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD MONTGOMERY DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "405-698-1003",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gentle Dental Moore",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gentle Dental Moore",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.