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TONY MONTGOMERY DMD
NPI 1386176782
Oral & Maxillofacial Surgery in San Angelo, TX

Active since April 03, 2017PECOS Enrolled
3012 GREEN MEADOW DR, SAN ANGELO, TX 76904(325) 944-3565 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Jul 14, 2022, Jun 24, 2018 (3 updates tracked since 2018).

About Tony Montgomery Dmd NPPES

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

TONY MONTGOMERY DMD (NPI 1386176782) is an individual oral & maxillofacial surgery provider in San Angelo, Texas, licensed in Texas (37137) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386176782
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameTONY MONTGOMERYCredential: DMD
Location Address3012 GREEN MEADOW DRSan Angelo, TX 76904-6974
Mailing Address3012 Green Meadow DrSan Angelo, TX 76904-6974 · (325) 944-3565
Phone(325) 944-3565
Sole ProprietorYes
Enumeration DateApril 3, 2017
Last NPPES UpdateSeptember 22, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1386176782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · 37137
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3012 GREEN MEADOW DR, San Angelo, TX 76904
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tony Montgomery Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELO ORAL & MAXILLOFACIAL SURGERY, P. A.
Dentist (Oral and Maxillofacial Surgery)
3012 GREEN MEADOW DR
SAN ANGELO, TX 76904
Tom Green County (325) 944-3565
RYAN L MONTGOMERY DDS MD PLLC
Clinic/Center (Oral and Maxillofacial Surgery)
3012 GREEN MEADOW DR
SAN ANGELO, TX 76904
Tom Green County (325) 944-3565

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 Tony Montgomery's NPI number?

The NPI number for Tony Montgomery is 1386176782. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Tony Montgomery located?

Tony Montgomery practices at 3012 Green Meadow Dr, San Angelo, TX 76904. The listed phone number is (325) 944-3565.

What is Tony Montgomery's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Tony Montgomery enrolled in Medicare?

Yes. Tony Montgomery is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tony Montgomery was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.