Provider Demographics
NPI:1093864605
Name:MONTEE, CAROL J (DMD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:J
Last Name:MONTEE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:TESTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3012 LONGFORD DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-6151
Mailing Address - Country:US
Mailing Address - Phone:615-302-0281
Mailing Address - Fax:153-020-2876
Practice Address - Street 1:3012 LONGFORD DR STE 1
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-6151
Practice Address - Country:US
Practice Address - Phone:615-302-0281
Practice Address - Fax:615-302-0287
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN83011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice