Individual provider · Type 1 NPI

Sophia Grace Montgomery, DDS

Student in an Organized Health Care Education/Training Program · Milwaukee, WI

NPI number 1740168707 Active

Practice location

1801 W Wisconsin Ave
Milwaukee, WI 53233-2186

Call (414) 288-6790 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X6001946 (WI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740168707

Sophia Grace Montgomery, DDS's National Provider Identifier is 1740168707, issued on Aug 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 26, 2025.