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Tate Montgomery, DDS

NPI 1255575502 · on the registry since 2009

Practice

Address
3824 S Boulevard Ste 110
Edmond, OK 73013
Phone
(918) 200-9610
Fax
(913) 904-1353
Organisation at this address
Edmond Pediatric And Teen Dentistry
Oklahoma Otolaryngology Hearing Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
1223D0004X
1223D0004X
Also registered as
122300000X
122300000X
122300000X
390200000X
Licence states on file
OK, CA, KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma