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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAQUITA LARSHE TATE

Active

JAQUITA LARSHE TATE is a Dental Assistant healthcare provider located in FT. STEWART, Georgia. NPI 1124470695 is currently active in the NPPES registry. Verify at CMS.

Dental Assistant · FT. STEWART, GA

Registration Details

NPI Number
1124470695
Provider Type
Individual
Gender
Female
NPI Issued
Jul 8, 2016 (10.057185245202 yrs)
Last Updated
Jul 8, 2016

Practice Information

Address
305 VANGUARD RD
FT. STEWART, GA, 31314
Browse GA providers · Browse ZIP 31314
Phone
9124355705
Primary Specialty
Dental Assistant
126800000X

Other Dental Assistant Providers in FT. STEWART, GA

Name Credential NPI
TINIKI WILSON 1871946830
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.