DR. CLIFTON J MONTGOMERY (NPI# 1033228788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033228788 |
| Entity Type | Individual |
| Full Name | DR. CLIFTON J MONTGOMERY |
| Credential | DDS |
| Practice Address |
516 W Twohig San Angelo TX 76903 |
| Practice Telephone | 3256556743 |
| Practice Fax Number | 3256538517 |
| Mailing Telephone | 3256556743 |
| Mailing Fax Number | 3256538517 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12600 | TX | Dental Providers |
| Street Address |
516 W TWOHIG |
| City | SAN ANGELO |
| State | TX |
| Zip Code | 76903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306386081 | The Waterford Wellness Spa | Clinic/Center | 602 S. Abe, San Angelo, TX 76903 | 2017-03-01 |
| 1154782415 | Jerrica Elayne Escobedo | Counselor | 424 South Oakes, San Angelo, TX 76903 | 2016-03-15 |
| 1578923868 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3440 S. Bryant Blvd, San Angelo, TX 76903 | 2016-02-29 |
| 1821475161 | San Angelo Dental, Pllc | Dentist | 614 29th Street, Suite, Sanangelo, TX 76903 | 2015-05-06 |
| 1033549670 | Tina Faye Luck | Nurse Practitioner | 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 | 2013-11-18 |
| 1295087294 | Tara Joiner | Counselor | 27 W Beauregard Ave, San Angelo, TX 76903 | 2012-10-15 |
| 1225380728 | Tanya L Favor | Physician Assistant | 215 E. College, San Angelo, TX 76903 | 2012-10-08 |
| 1336459551 | Education Service Center | Social Worker | 612 S Irene, San Angelo, TX 76903 | 2010-10-21 |
| 1508194176 | Pay and Save Inc | Pharmacy | 1926 N. Bryant Blvd., San Angelo, TX 76903 | 2009-11-19 |
| 1326375734 | Pay and Save Inc | Pharmacy | 2 S. Main St., San Angelo, TX 76903 | 2009-11-05 |
| Find all providers in zip 76903 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225289929 | Robert Charles Mankin | Dentist | 6632 Pinehurst Dr, San Angelo, TX 76904-9308 | 2008-10-01 |
| 1558537316 | Daniel J Hinckley Dds | Dentist | 2141 Hamilton Way Ste 104, San Angelo, TX 76904-6887 | 2008-05-01 |
| 1306025580 | Leslie F Rick Williams | Dentist | 2102 Pecos, Suite 6, San Angelo, TX 76901-3061 | 2007-10-24 |
| 1609072396 | Charles Monroe Webb | Dentist | 324 E Harris, San Angelo, TX 76903 | 2007-06-21 |
| 1881897254 | Thomas Frederick Anderson | Dentist | 421 W Twohig, San Angelo, TX 76903 | 2007-06-06 |
| 1417040940 | Jay Edward Fandel | Dentist | 5618 Woodbine Ln, San Angelo, TX 76904 | 2006-10-02 |
| 1043324122 | Jack Houston Self | Dentist | 113 A & M St, San Angelo, TX 76901-3661 | 2006-08-18 |
| 1508809179 | Kenneth Anderson Rees | Dentist | 2149 Office Park Dr, San Angelo, TX 76904-6803 | 2006-06-13 |
| 1467444034 | David Christopher Henson | Dentist | 4333 College Hills Blvd, San Angelo, TX 76904-6919 | 2005-08-18 |
| 1942721006 | Kristin L. Goodwin | Dentist | 1897 Pecos St, San Angelo, TX 76901-3231 | 2017-06-29 |
| Find all providers in SAN ANGELO | ||||
| City | SAN ANGELO |
| Zip Code | 76903 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.