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MARC MONTGOMERY DDS PA
NPI 1417825563
Dentist - General Practice in Woodbury, MN

Active since October 29, 2025
8380 CITY CENTRE DR STE 120, WOODBURY, MN 55125(651) 714-1642 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marc Montgomery Dds Pa NPPES

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

MARC MONTGOMERY DDS PA (NPI 1417825563) is a healthcare organization registered as a general practice in Woodbury, Minnesota and active in the NPI registry since October 2025. The organization lists Marc Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1417825563
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARC MONTGOMERY DDS PA
Location Address8380 CITY CENTRE DR STE 120Woodbury, MN 55125-5304
Mailing Address8380 City Centre Dr Ste 120Woodbury, MN 55125-5304 · (651) 714-1642
Phone(651) 714-1642
Organization SubpartNo
Authorized OfficialMarc MontgomeryOwner · (651) 714-1642
Enumeration DateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1417825563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
8380 CITY CENTRE DR STE 120, Woodbury, MN 55125
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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

Other Providers at the Same Location NPPES

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

MARC MONTGOMERY DENTAL GPS PLLC
Dentist (General Practice)
8380 CITY CENTRE DR STE 120
WOODBURY, MN 55125
Washington County (651) 714-1642

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 Marc Montgomery Dds PA's NPI number?

The NPI number for Marc Montgomery Dds PA is 1417825563. It was assigned to this organization in the NPPES registry on October 29, 2025.

Where is Marc Montgomery Dds PA located?

Marc Montgomery Dds PA is located at 8380 City Centre Dr Ste 120, Woodbury, MN 55125. The listed phone number is (651) 714-1642.

What is Marc Montgomery Dds PA'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 Marc Montgomery Dds PA was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.