Montgomery, Tate

Montgomery, Tate is an individual health care provider with primary practice located at 3824 S Boulevard Ste 110 , Edmond OK 73013-5779. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist Anesthesiologist. Dental Providers / Dentist Anesthesiologist is his primary health care specialty. Montgomery, Tate can be contacted via phone (918) 200-9610.

Contact Information

Primary practice address
3824 S Boulevard Ste 110 Edmond OK 73013-5779
Phone: (918) 200-9610
Fax: (913) 904-1353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6231 Oklahoma
Dental Providers / Dentist 122300000X 58243 California
Dental Providers / Dentist 122300000X 60643 Kansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist Anesthesiologist 1223D0004X 6231 Oklahoma

Profile Details

NPI number 1255575502
LBN Legal business name Montgomery, Tate
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2009
Last updated Apr 2nd, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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