Charles Robert Montgomery Jr., DDS
NPI 1720148745ActiveIndividual· Dentist, General Practice· Jackson, NJ
Dentist, General Practice (DDS) in Jackson, New Jersey, licensed in NJ, with an NPI issued in December 2006. Part D covered 157 prescriptions written in 2024, 94% of them generic. Ultradent Products Inc reported $18.75 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1720148745 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Dec 11, 2006 |
| Last updated in NPPES | Sep 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DI01679400 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 157 · 161 30-day fills |
|---|---|
| Patients | 63 |
| Total drug cost | $568.47 |
| Generic share | 94% of claims |
Industry payments (Open Payments)
- 2024$18.75 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Ultradent Products Inc | $18.75 | 1 |
What the 2024 payments were for
- Food and Beverage$18.75 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Jackson
- 1851310148
- 1669912952
- 1497904437
- 1689823601
- 1235026485
- 1679795116
- 1629194378
- 1174783682
- 1184832297
- 1235398223
- 1306816830
- 1962422501