IndividualActive
Edmund Montgomery, D.D.S.
NPI 1174651103 · General Practice Dentistry · Brandon, MS
Edmund Montgomery, D.D.S. is a General Practice Dentistry provider in Brandon, MS (NPI 1174651103).
Provider details
- NPI number
- 1174651103
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1760-77 (MS)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1921 Spillway Rd
Brandon, MS 39047-6021
Phone: (601) 992-9379
Fax: (601) 992-9393
Street-level locationGet directions
Mailing address
1921 Spillway Rd
Brandon, MS 39047-6021
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Edmund Montgomery's NPI number?
- Edmund Montgomery's National Provider Identifier (NPI) is 1174651103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edmund Montgomery's specialty?
- Edmund Montgomery is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Edmund Montgomery located?
- Edmund Montgomery's practice location on file with NPPES is 1921 Spillway Rd, Brandon, MS 39047-6021.
- What is Edmund Montgomery's phone number?
- The practice phone number listed in the NPPES registry for Edmund Montgomery is (601) 992-9379.
- Is Edmund Montgomery's NPI active?
- Yes — Edmund Montgomery's NPI (1174651103) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.