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Contact Information

CHARLES E MONTAGUE III, DMD
1330 CENTRAL AVENUE
ASHLAND, KY41101
 Phone: 606-329-0919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHARLES E MONTAGUE III · (Male)

NPI # 1043351372
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 02/09/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 5224
  • KY Medicaid 60052248
  • Other YA20 DELTA DENTAL
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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