Lonny Thomas Montgomery, DDS

Individual provider Active NPI Dentist · Sweeny, TX

NPI 1891889226 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891889226
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
14670 (TX)
Practice address
303 McKinney
Suite a
Sweeny, TX 77480
Phone
(979) 548-2184
Fax
(979) 548-3108
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
14670TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14670 TX Yes

Addresses

Primary practice location

303 McKinney
Suite a
Sweeny, TX 77480

Mailing address

303 McKinney
Suite a
Sweeny, TX 77480
Phone (979) 548-2184

Other providers in Sweeny, TX

All providers in Sweeny, TX · Dentist in Texas

Sources for this page

Verify at the official NPI Registry.