OrganizationActive
Sutherlin Dental
NPI 1043456403 · Dental Clinic/Center · Sutherlin, OR
Sutherlin Dental is a Dental Clinic/Center organization in Sutherlin, OR (NPI 1043456403).
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
Frequently asked questions
- What is Sutherlin Dental's NPI number?
- Sutherlin Dental's National Provider Identifier (NPI) is 1043456403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sutherlin Dental?
- Sutherlin Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Sutherlin Dental located?
- Sutherlin Dental's practice location on file with NPPES is 115 N State St, Sutherlin, OR 97479-9807.
- What is Sutherlin Dental's phone number?
- The practice phone number listed in the NPPES registry for Sutherlin Dental is (541) 459-4612.
- Who is the authorized official for Sutherlin Dental?
- The authorized official listed on Sutherlin Dental's NPPES record is Monte' Montgomery, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sutherlin Dental's NPI active?
- Yes — Sutherlin Dental's NPI (1043456403) is active in the NPPES registry as of the last update on 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.