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DR. EDMUND WARREN MONTGOMERY III D.D.S.
NPI 1174651103
Dentist - General Practice in Brandon, MS

Active since March 01, 2007
1921 SPILLWAY RD, BRANDON, MS 39047(601) 992-9379(601) 992-9393 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Edmund Warren Montgomery Iii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDMUND WARREN MONTGOMERY III D.D.S. (NPI 1174651103) is an individual general practice provider in Brandon, Mississippi, licensed in Mississippi (1760-77) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1174651103
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EDMUND WARREN MONTGOMERY IIICredential: D.D.S.
Location Address1921 SPILLWAY RDBrandon, MS 39047-6021
Mailing Address1921 Spillway RdBrandon, MS 39047-6021 · (601) 992-9379 · Fax (601) 992-9393
Phone(601) 992-9379
Fax(601) 992-9393
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1174651103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 1760-77
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1921 SPILLWAY RD, Brandon, MS 39047
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmund Montgomery's NPI number?

The NPI number for Edmund Montgomery is 1174651103. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Edmund Montgomery located?

Edmund Montgomery practices at 1921 Spillway Rd, Brandon, MS 39047. The listed phone number is (601) 992-9379.

What is Edmund Montgomery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Edmund Montgomery was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.