Individual provider · Type 1 NPI
Timothy J. Montgomery, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Eden Prairie, MN
Practice location
16570 W 78th St
Eden Prairie, MN 55346-4308
Mailing address
14605 Glazier Ave
Apple Valley, MN 55124-7545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 8466 (MN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
Another provider at this address
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About NPI 1386798049
Timothy J. Montgomery, DDS's National Provider Identifier is 1386798049, issued on Jan 22, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Eden Prairie, MN. The record was last updated on Jul 8, 2007.