Tate Family Dentistry, Pa in Southlake - General Practice
Tate Family Dentistry, Pa - NPI 1003811100
Tate Family Dentistry, Pa is a General Practice in Southlake, Texas. Tate Family Dentistry, Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tate Family Dentistry, Pa is 1003811100. The last update date is 2014-12-15.
Tate Family Dentistry, Pa's current location address is 3101 E State Highway 114, Southlake, Texas. You can contact this provider via phone number 8174816364 and fax number 8173292296. The mailing address for Tate Family Dentistry, Pa is 3101 E State Highway 114, Southlake, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tate Family Dentistry, Pa |
|---|---|
| Address | 3101 E State Highway 114, Southlake, Texas |
| Phone Number | 8174816364 |
| Fax Number | 8173292296 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Tate Tyler John |
| Credentials | D.D.S. |
| Telephone Number | 8174816364 |
NPI Number Detail
| NPI Number | 1003811100 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2014-12-15 |
Provider Mailing Address Detail
| Address | 3101 E State Highway 114 |
|---|---|
| City | Southlake |
| State | Texas (TX) |
| Post Code | 7609266900 |
| Phone Number | 8174816364 |
| Fax Number | 8173292296 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | TX11540 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| TX26565 | TX | DENTAL LICENSE NUMBER | |
| TX11540 | TX | DENTAL LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Tate Family Dentistry, Pa by the Centers for Medicare & Medicaid Services?
The Tate Family Dentistry, Pa has been issued the NPI (National Provider Identifier) 1003811100, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Tate Family Dentistry, Pa is geographically located?
The Tate Family Dentistry, Pa is physically situated at the following location: 3101 E State Highway 114, Southlake, TX, 7609266900.
What is Tate Family Dentistry, Pa's area of expertise and its corresponding taxonomy classification?
The Tate Family Dentistry, Pa's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1003811100 to Tate Family Dentistry, Pa?
The Centers for Medicare & Medicaid Services assigned the 1003811100 to Tate Family Dentistry, Pa on 2005-06-15.
When was the information related to Tate Family Dentistry, Pa most recently updated or refreshed?
The details pertaining to the Tate Family Dentistry, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-12-15.