MEDICARE: CAROL J MONTEE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8301	TN

General Provider Information

NPI Number	:	1093864605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL J MONTEE DMD

Provider Business Mailing Address
First Line	:	3012 LONGFORD DR STE 1
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6151
Country	:	US
Telephone Number	:	615-302-0281
Fax Number	:	153-020-2876

Provider Business Practice Location Address
First Line	:	3012 LONGFORD DR STE 1
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6151
Country	:	US
Telephone Number	:	615-302-0281
Fax Number	:	615-302-0287

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	03/11/2021

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