Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATE MONTGOMERY, DDS
ActiveTATE MONTGOMERY, DDS is a 1223D0004X healthcare provider located in EDMOND, Oklahoma. NPI 1255575502 is currently active in the NPPES registry. Verify at CMS.
1223D0004X · EDMOND, OK
Registration Details
- NPI Number
- 1255575502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2009 (17.335559767416 yrs)
- Last Updated
- Apr 2, 2015
- Licenses
-
6231 (OK)58243 (CA)60643 (KS)6231 (OK)
Practice Information
- Address
-
3824 S BOULEVARD STE 110EDMOND, OK, 730135779Browse OK providers · Browse ZIP 73013
- Phone
- 9182009610
- Fax
- 9139041353
- Primary Specialty
-
1223D0004X
1223D0004X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- 1223D0004X
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.