TATE MONTGOMERY, DDS
Dentist - Dental Anesthesiology
Active
Individual
NPI: 1255575502
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 60643 (KS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - Dental Anesthesiology | 1223D0004X | Yes | 6231 (OK) |
Frequently Asked Questions
NPI 1255575502 is the National Provider Identifier for TATE MONTGOMERY, DDS, a Dentist - Dental Anesthesiology provider located in Edmond, OK. This NPI was enumerated on April 29, 2009.
TATE MONTGOMERY, DDS practices at 3824 S BOULEVARD STE 110, Edmond, OK 73013.
Quick Facts
- NPI
- 1255575502
- Type
- Individual
- Enumerated
- Apr 29, 2009
- Last Updated
- Apr 2, 2015
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