OrganizationActive
Sutherlin Dental
NPI 1043456403 · Dental Clinic/Center · Sutherlin, OR
Provider details
- NPI number
- 1043456403
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Monte' Montgomery, President(541) 459-4612
- License
- D6919 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 N State St
Sutherlin, OR 97479-9807
Phone: (541) 459-4612
Fax: (541) 459-4911
Street-level locationGet directions
Mailing address
Po Box 719
Sutherlin, OR 97479-0719
Other names (DBA / former)
- Other name
- Monte' E. Montgomery DDS, PC
Registry dates
- Enumerated
- 2009-01-06
- Last updated
- 2009-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.