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Contact Information

DEBORAH A MONTGOMERY, DDS
11076 S. LONGWOOD DR.
CHICAGO, IL60643
 Phone: 773-239-7258
 Fax: 773-239-7259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for DEBORAH A MONTGOMERY · (Female)

NPI Number 1023269008
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/08/2008
Last updated 10/08/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 019-022902
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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