Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Montez Delver Hallback, DMD

Individual provider General Practice Dentistry · NPI 1477398196

Dr. Montez Delver Hallback, DMD is a Dentist in Auburn, Massachusetts. Graduated from Tufts University School of Dental Medicine in 2024, 2 years ago. Licensed in Virginia.

Years since qualifying
2
Trained at
Tufts University School of Dental Medicine
Licensed in
VA
In the registry since
2024
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

434 Southbridge St Ste B
Auburn, MA 01501-4423
Phone: (508) 752-6649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401419233 (VA)

Record details

NPI number1477398196
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 25, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolTUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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