Kathy A. Montague
Dentist - General Practice
40 Mansfield Ave
Willimantic
, Connecticut 06226-2018
Kathy A. Montague
Dentist - General Practice
40 Mansfield Ave
Willimantic
, Connecticut 06226-2018
(860) 450-7471
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Kathy A. Montague
- 40 Mansfield Ave
- Willimantic, CT
- Zip : 06226-2018
- Phone : (860) 450-7471
Second Address
- Kathy A. Montague
- 40 Mansfield Ave
- Willimantic, CT
- Zip : 06226-2018
- Fax : (860) 450-9808
- Phone : (860) 450-7471
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 008647 | CT |
| Y | 213EG0000X | General Practice | 008647 | CT |
National Provider Identifier
| NPI | 1003895327 |
|---|---|
| Provider Name | Kathy A. Montague |
| First Address | Willimantic, CT 06226-2018 |
| Second Address | Willimantic, CT 06226-2018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2006 |
| Last Update Date | 10/06/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.