TATE MONTGOMERY DDS NPI 1255575502

NPI Information

NPI: 1255575502
Provider Name: TATE MONTGOMERY, DDS
Classification: Dentist - 1223D0004X
Entity Type: Individual

Specialization: Dentist Anesthesiologist

Address:
3824 S BOULEVARD STE 110
EDMOND, OK
ZIP 73013
Phone: (918) 200-9610
Get Directions

Tate Montgomery, DDS is a dentist anesthesiologist dentist in Edmond, OK. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. Tate Montgomery, DDS NPI is 1255575502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3824 S BOULEVARD STE 110
EDMOND, OK
ZIP 73013-779
Phone: (918) 200-9610
Fax: (913) 904-1353

The enumeration date for this NPI number is 4/29/2009 and was last updated on 4/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		6231	OKLAHOMA	No
2	122300000X	Dentist		58243	CALIFORNIA	No
3	122300000X	Dentist		60643	KANSAS	No
4	390200000X	Student in an Organized Health Care Education/Training Program				No
5	1223D0004X	Dentist	Dentist Anesthesiologist	6231	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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